Account Receivable Specialist

7 days ago


Bengaluru, Karnataka, India ACN Healthcare RCM Services Full time

Account Receivable Specialist - Hospital Billing

About the Role:

  • Responsible for calling insurance companies (in the US) on behalf of Physicians/Clinics/Hospitals and follow up on outstanding Accounts Receivables.
  • Should be able to convince the insurance company (payers) for payment of their outstanding claims.
  • Sound knowledge in U.S. Healthcare Domain (provider side) and methods for improvement on the same.
  • Should have basic knowledge of the entire Revenue Cycle Management (RCM).
  • Manage & develop collaterals as required.
  • To check with Team Leader for client updates.
  • Meeting all set productivity and quality targets with TAT.
  • Identify issues and escalate the same to the Team Leader/Manager.
  • Update Production logs.
  • Adherence to company policies, rules and regulations.
  • To follow quality processes using checklist.
  • Adherence to HIPAA guidelines.
  • Responsible for complying with all QMS and ISMS Policies and procedure.
  • Knowledge of Speciality billing with experience in Transplant/Gift Of Life/Organ Procurement billing and follow-up, identify the right changes and billing the same to the specific Organ procurement will be added advantage.

Eligibility

  • 1 to 3 years of relevant experience in provider side (US based AR activities).
  • Hands-on Experience in Analysis and calling Insurance companies.
  • Excellent Oral and Written communication.
  • Having knowledge of EPIC software is desirable.
  • Should be ready to work on the claims < $5,000 at Day 60.
  • Accounts will qualify to you to work at day 60 from bill date in specific WQs that you will work in Epic.
  • Should be open to Work from Office in US Timings - EST hours.


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