Process Specialist
3 days ago
The Senior AR Collections Agent is responsible for the timely and effective collection of outstanding accounts receivable (AR) for healthcare services. This role involves in-depth knowledge of medical billing, coding, payer regulations, and collection techniques. The Senior Agent handles complex cases, provides guidance to junior team members, and plays a key role in improving the overall collection process.
Key Responsibilities:
Collections Activities:
Manage and resolve complex and high-dollar AR claims.
Investigate and analyze aged AR to determine appropriate collection strategies.
Contact insurance companies, patients, and other responsible parties to pursue payment.
Document all collection activities accurately and thoroughly in the billing system.
Review and interpret Explanation of Benefits (EOBs) to identify discrepancies and denials.
Appeal denied claims and follow up on pending appeals.
Negotiate payment plans with patients according to established guidelines.
Identify and escalate problematic accounts to management for further action.
Understanding of HIPAA regulations and ensure compliance in all activities.
Stay current on changes in payer regulations, coding guidelines, and billing requirements.
Problem Solving and Analysis:
Identify trends in denials and payment issues and propose solutions to prevent recurrence.
Work with other departments (e.g., billing, coding, registration) to resolve billing errors and process issues.
Research and resolve complex billing inquiries from patients and insurance companies.
Mentorship and Training:
Serve as a mentor and resource for junior AR Collections Agents.
Assist in training new team members on collection procedures and systems.
Provide guidance on handling difficult or complex accounts.
Reporting and Process Improvement:
Prepare regular reports on AR status, collection rates, and key performance indicators (KPIs).
Identify opportunities to improve collection processes and increase efficiency.
Participate in team meetings and contribute to process improvement initiatives.
System Proficiency:
Utilize billing software and other relevant systems to manage accounts and track collection activities (e.g., EPIC, Cerner, etc.).
Maintain accurate and up-to-date information in the billing system.
Qualifications, Experience & Skills:
Undergraduate degree or equivalent required; Associate's or Bachelor's degree in a related field preferred.
Minimum of 5-7 years of experience in Phycian Billing/Hospital billing RCM AR collections.
Proven track record of successfully collecting outstanding AR.
Experience working with various insurance payers (e.g., Medicare, Medicaid, Commercial).
In-depth knowledge of revenue cycle management
Strong understanding of payer regulations and reimbursement processes.
Excellent communication and interpersonal skills.
Strong analytical and problem-solving abilities.
Proficiency in using billing software and Microsoft Office Suite.
Ability to work independently and as part of a team.
Excellent organizational and time-management skills.
Ability to handle a high volume of accounts and meet deadlines.
Preferred Qualifications:
Experience with EPIC preferred but not mandatory
Both Hospital and Professional billing experience preferred
Flexible to work from Office all 5 days in the week in US shift
-
Accounting Automation
3 days ago
Chennai, Tamil Nadu, India AI Specialist Full time ₹ 5,00,000 - ₹ 15,00,000 per yearAbout Us:We are a dynamic and growing outsourced accounting office located in Chennai, India, specializing in back-office accounting, tax, and audit preparation services for US and Canadian accountants. We are committed to leveraging technology to streamline operations, increase accuracy, and deliver more value to our international clients.Job Overview:We...
-
Process Optimization Specialist
2 weeks ago
Chennai, Tamil Nadu, India beBeeProcess Full time ₹ 1,20,00,000 - ₹ 2,01,00,000Process Optimization SpecialistAbout the Role:We are seeking a highly skilled Process Optimization Specialist to join our team. As a key member of our Process Engineering Project Team, you will be responsible for optimizing processes, developing design basis, and preparing process flow diagrams.Key Responsibilities:Collaborate with the Process Engineering...
-
Business Process Specialist
2 weeks ago
Chennai, Tamil Nadu, India beBeebusiness Full time ₹ 8,00,000 - ₹ 10,00,000Job Title:Business Process SpecialistWe are seeking a highly skilled Business Process Specialist to join our operations team. The successful candidate will be responsible for ensuring seamless execution of business processes, identifying areas for improvement and implementing process enhancements.Main Responsibilities:Process Execution: Execute business...
-
Process Optimization Specialist
6 days ago
Chennai, Tamil Nadu, India beBeeChemical Full time ₹ 1,50,00,000 - ₹ 2,00,00,000Process Optimization SpecialistWe are seeking a highly skilled Process Optimization Specialist to join our team. The ideal candidate will have expertise in developing complex dynamic simulation process models and smart applications using Simulation and Optimization tools.Key Responsibilities:Develop dynamic process and flow models for Oil & Gas Process and...
-
Senior Process Specialist
7 days ago
Chennai, Tamil Nadu, India beBeeProcess Full time ₹ 1,50,00,000 - ₹ 2,00,00,000Job Title: Senior Process SpecialistAbout the RoleWe are seeking a highly skilled and experienced process specialist to join our team. The successful candidate will have a strong background in refinery plant and petrochemical plant operations.Key ResponsibilitiesFamiliarity with refinery plant and/or petrochemical plant processesProcess optimization and...
-
Junior Process Specialist
1 week ago
Chennai, Tamil Nadu, India KONE Full timeJob DescriptionResponsibilities:Assist and coordinate on Performance management, Goal setting, Merit and other P&R processes. Conduct calls and workshops with P&R specialist on P&R processes. Administer P&R tools for addition and deletion. Responsible for various reward related analysis Ensure all process are adhered and completed within the prescribed...
-
Process Development Specialist
5 days ago
Chennai, Tamil Nadu, India beBeeDevelopment Full time ₹ 6,00,000 - ₹ 8,00,000Job Title: Process Development SpecialistWe are seeking a highly skilled Process Development Specialist to join our team.About the Role:This is a unique opportunity to develop and establish scalable and robust processes for meeting desired product yield and quality. You will be responsible for assessing risk and actively planning for risk mitigation...
-
Process Improvement Specialist
1 week ago
Chennai, Tamil Nadu, India beBeeBusiness Full time ₹ 12,00,000 - ₹ 20,00,000Job Title: Business Process Specialist"> We are actively seeking a qualified professional to serve as the Technical Expert in supporting Regulation & Homologation business functions. This individual will be an integral member of the Regulation & Homologation ICT Team, collaborating with international professionals to develop and optimize processes, thereby...
-
Document Processing Specialist
2 weeks ago
Chennai, Tamil Nadu, India Veryon Full timeDOCUMENT PROCESSING SPECIALIST Chennai Why We Need You - The Mission Veryon is a leading software and technology company that exists to enable aviation teams around the world to improve efficiency and safety Our products maximize uptime for aircraft maintenance teams through our customer driven innovation and world class customer service Veryon has more...
-
Junior Process Specialist
1 week ago
Chennai, Tamil Nadu, India KONE Full timeResponsibilities Assist and coordinate on Performance management Goal setting Merit and other P R processes Conduct calls and workshops with P R specialist on P R processes Administer P R tools for addition and deletion Responsible for various reward related analysis Ensure all process are adhered and completed within the prescribed global and local...
