Accounts Executive

2 weeks ago

Andheri Mumbai Maharashtra, India 1 Stop Solution Full time

**Industry Type: IT-Software, Software Services**

**Location: Navi Mumbai**

**Division: Healthcare Technology**

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Objective:
As an executive - accounts receivable caller, you will be responsible for making calls to insurance companies to follow-up on pending claims. We are looking for people with excellent spoken English skills, preferably with experience in account receivables, and denial management processes.*

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**Profile**:
Follow-up with Insurance Companies to check status of outstanding claims

Payment receipt information if the claims has been processed

Analyze claims if rejected
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Job Responsibilities:

- Perform pre-call analysis and check status by calling the payer or using IVR or web portal services
- Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference
- Record after-call actions and perform post call analysis for the claim follow-up
- Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact
- Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc prior to making the call
- Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments

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Skills Required:  

Must-Have:

- Good organizational skills to implement timely follow-up.
- Ability to multi-task.
- Willingness to work in night shifts and weekends.
- Excellent verbal and written communication skills.
- Strong reporting skills.
- Ability to follow established work schedule.

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Education: Graduates/Postgraduates in B.Sc with specialization in Zoology, Biology, Botany, Bsc-Nursing, Biotechnology (Bsc, Msc, BTech/MTech), Micro-Biology, B-Pharm and M-Pharm.

Work experience: Must have at least 1 to 2 years' experience in RCM (Revenue Cycle Management (RCM)

Employment Type: Full Time, Permanent
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**Salary**: From ₹15,000.00 per month

Schedule:

- Flexible shift
- Night shift
- Rotational shift

Supplemental Pay:

- Commission pay

Ability to commute/relocate:

- Navi Mumbai, Navi Mumbai, Maharashtra: Reliably commute or planning to relocate before starting work (required)

**Experience**:

- total work: 1 year (preferred)

**Speak with the employer**

+91-XXXXXXXXXX

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