Mar_Ops_Jr_RCR_AR

Key Responsibilities:Process:● Responsible for achieving the defined TAT on deliverables with the agreed Quality benchmark score.● Responsible for analyzing an account and taking the correct action.● Ensuring that every action to be taken should be resolution oriented whilst working on the specific task/case assigned.● Task claims to appropriate teams where a specific department within IKS, or client's assistance is required to resolve them.AR:● Follow up with the payors on open claims beyond a reasonable time period to identify it's accurate action.● Analyze denials from insurances, verify its authenticity, understand causes and resolve them.● Ensure claims are followed up as per assigned ticklers within the stated time period.● Manage ageing on the assigned workfile.EV/BV:● Responsible for reaching out to the payor to check on the insurance eligibility and the benefits of the patient● Addressing the claims to insurance or Self Pay (Patient Attention) based on the eligibility identifiedQualifications:● Graduate from any discipline is a mustRole Prerequisites:● Freshers directly out of college/institutions/to the industry OR Minimum

year and above experience in AR, PP, Billing and EV/BV is a must.Functional Competencies:● Knowledge of the US healthcare RCM industry would be preferred● Basic Knowledge of working on computers would be preferred● Basic Knowledge of MS Office would be preferred. ● Typing Speed ● Eye for DetailBehavioral Competencies:● Team Work ● Communication ● Customer Service Orientation ● Accountability ● Analytical ThinkingPlease note: The competencies highlighted above under the functional and behavioral competencies are the MUST HAVE competencies in the role and need to be mandatorily measured during the assessments OR hiring proces

---