Account Receivable Executive

2 days ago

Mohali, India Eligence HR Consultants Full time

Account Receivable Analysist (USA Calling Process)

**Company Overview**:
We are a leading HR Consulting firm with a focus on staffing/recruitment service. We are currently seeking a highly motivated and dedicated individual for one of the reputed company, as a Process/Sr. Process Associate for USA based calling process. This role offers an exciting opportunity to contribute to company’s growth and success in the US Healthcare medical billing domain.

**Responsibilities**:

- _**Insurance Claim Follow-up**_**: Initiate and manage follow-up activities with insurance companies to ensure the timely processing and payment of claims.
- _**Claims Verification**_**: Review and verify claim details, including patient demographics, insurance information, medical codes, and supporting documentation, to ensure accuracy and compliance with insurance requirements.
- _**Denial Analysis**_: Analyze claim denials and rejections, identify the root causes, and take necessary actions to resolve outstanding issues and resubmit claims for reconsideration.
- _**Payment Posting**:_ Accurately post insurance payments, adjustments, and write-offs to patient accounts in the billing system, maintaining a high level of data integrity.
- _**Reconciliation**:_ Perform regular reconciliation of accounts receivable balances with insurance remittances, identifying discrepancies and taking appropriate steps for resolution.
- _**Appeal Process**:_ Prepare and submit appeals for denied claims, including gathering supporting documentation, writing appeal letters, and tracking the progress until resolution.
- _**Insurance Aging Analysis**:_ Monitor and analyze accounts receivable aging reports, identify delinquent accounts, and implement effective collection strategies to minimize outstanding balances_**.**_
- _**Communication**:_ Communicate effectively with insurance companies, healthcare providers, and internal departments to resolve billing and payment issues, clarify information, and escalate complex cases as needed.
- _**Compliance**:_ Ensure compliance with healthcare regulations, insurance policies, and billing guidelines, maintaining confidentiality and adhering to industry best practices.
- _**Documentation and Reporting**:_ Maintain accurate and organized documentation of all claim-related activities, including claim status updates, appeal records, and other relevant information. Generate reports on claim statuses, aging, and key performance indicators as required.

**Requirements**:

- Graduate/ undergraduate.
- 0-3 years’ experience in insurance follow-up within the healthcare industry.
- Excellent attention to detail and accuracy in reviewing and verifying claim information, insurance policies, and patient data.
- Strong analytical and problem-solving skills with the ability to identify issues, propose solutions, and follow through to resolution.
- Effective written and verbal communication skills.
- Demonstrated ability to work collaboratively in a team setting, sharing knowledge, and supporting colleagues.

**Salary**: ₹15,000.00 - ₹30,000.00 per month

**Benefits**:

- Food provided
- Health insurance
- Provident Fund

Schedule:

- Monday to Friday
- Night shift

Supplemental pay types:

- Performance bonus

Ability to commute/relocate:

- Mohali, Punjab: Reliably commute or planning to relocate before starting work (required)

**Education**:

- Bachelor's (preferred)

**Experience**:

- AR Follow up (preferred)

**Language**:

- English (required)

Shift availability:

- Night Shift (required)

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