Executive AR

22 hours ago

Mumbai, Maharashtra, India Omega Healthcare Full time
Job Description

Responsibility Areas

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

Responsibility Areas:

1. Should handle US Healthcare providers/ Physicians/ Accounts Receivable.

2. To work closely with the team leader.

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

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

corrections to claims.

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

6. To review emails for any updates

7. Identify issues and escalate the same to the immediate supervisor

8. Update Production logs

9. Strict adherence to the company policies and procedures.

Desired Profile

1. Sound knowledge in Healthcare concept(Physician Billing).

2. Should have Minimum 2 Year of AR calling Experience in US Healthcare.

3. Excellent Knowledge on RCM, Medicare, Medicad, Hospice, HMO, PPO, POS, EPO, MCO plans, Modifiers, CPT codes, Office code visits, Drug codes, Appeals, Denial management, CMS-1500 form, clearing house etc.

4. Understand the client requirements and specifications of the project

5. Should be proficient in calling the insurance companies.

6. Ensure targeted collections are met on a daily / monthly basis

7. Meet the productivity targets of clients within the stipulated time.

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

9. Prepare and Maintain status reports.

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