AR-Executive

Role Description Overview:

The User is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service.

Responsibility Areas:

Handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable.

To work closely with the team leader.

Ensure that the deliverables to the client adhere to the quality standards.

Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims.

Calling the insurance carrier & Document the actions taken in claims billing summary notes.

To review emails for any updates

Identify issues and escalate the same to the immediate supervisor

Update Production logs

Strict adherence to the company policies and procedures.

Requirements:

Sound knowledge in Healthcare concept.

Must have 1 to 3 years of AR calling Experience and experience in handling Prior Authorization

Excellent Knowledge on Denial management.

Should be proficient in calling the insurance companies.

Ensure targeted collections are met on a daily / monthly basis

Meet the productivity targets of clients within the stipulated time.

Ensure accurate and timely follow up on pending claims wherein required.

Prepare and Maintain status reports

Skills & Education:

Any degree

Excellent Communication Skills, Analytical & Good Listening Skills

Basic Computer Skills