Voice - Experience - Jaipur

1 month ago

Jaipur Rajasthan, India AGS Health Full time

**ROLE SUMMARY
This position is based out of the Philippines
- Manila office, responsible for the following:

- Ensure quality driven follow-up activities and resolution of accounts is carried out with the insurance carriers on the outstanding inventory to yield maximum cash flow and minimum bad debts
- Interact by Phone and Internet based portals with the insurance companies in US to procure status of the claim followed by appropriate activities to address open AR The key functions of an AR Executive are to ensure the below responsibilities are carried out to the best of his/her ability in the interest of the organization and client

**RESPONSIBILITIES
- To address outstanding or assigned AR through analysis and phone calls by using available resources
- To report trends / patterns in denials, claim submission errors, credentialing issues and billing related roadblocks to the immediate reporting manager.
- To meet the established SLAs (service level agreements) for production and quality
- To update the outcome of the calls or analysis in a clear and coherent manner in the billing system
- To utilize the P & P’s (policies and procedures) established for the process and stay updated with changes done with the P & Ps To improve the performance based on the feedback provided by the reporting manager / quality audit team

**COMPLIANCE**

Awareness and adherence to all applicable organization wide policies and procedures, including but not limited to Information security, HIPAA, and HR policies.

**ACADEMIC AND PROFESSIONAL BACKGROUND**
- University graduate with an average aptitude score
- Minimum 12 months - 4 years of AR follow-up experience with either physician or hospital billing background CPAT/CCAT certification will be an added advantage

**COMPETENCIES, SKILLS, AND OTHER REQUISITES
- Sound analytical skills
- Logical thinking
- Attention to detail
- Adequate domain knowledge on various billing terminologies & processes Good verbal and written communication skills

**ASSESSMENT / INTERVIEW PROCESS
- HR Interview
- Domain assessment
- Final Interview (Domain interview by Op’s)

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