Executive - Ar

1 week ago

Tiruchchirappalli, India OMH HealthEdge Holdings Full time

Omega Healthcare Management Services Private LimitedTAMIL NADUPosted On
09 Jan 2025
End Date
23 Jan 2025
Required Experience
1 - 3 Years
- Basic Section

No. Of Openings

5

Grade

1B

Designation

EXECUTIVE - AR

Closing Date

23 Jan 2025
- Organisational

Country

IN

State

TAMIL NADU

City

TIRUCHIRAPPALLI

Location

Tiruchirappalli-I
- Skills

Skill

ACCOUNTS RECEIVABLE

BPO

PROCESS IMPROVEMENT

MIS

MEDICAL BILLING

VENDOR MANAGEMENT

ACCOUNTING

FINANCIAL ANALYSIS

OUTSOURCING

CRM

Education Qualification

No data available

CERTIFICATION

No data available
- Job Description

Role Description Overview:
The User is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service

Responsibility Areas:

- Should 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.
- Identify issues and escalate the same to the immediate supervisor
- Update Production logs
- Strict adherence to the company policies and procedures.
- Sound knowledge in Healthcare concept.
- Should have 6 months to 3 Yrs of AR calling Experience.
- Excellent Knowledge on Denial management.
- Understand the client requirements and specifications of the project
- 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

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