Senior Process Associate
22 hours ago
Key Responsibilities:
- Handle US Healthcare Physicians / Hospitals Accounts Receivable (AR) process.
- Work closely with the Team Leader to achieve process goals.
- Ensure deliverables meet client's quality standards and timelines.
- Manage Denials, Rejections, LOAs, and Corrections to claims as per guidelines.
- Perform denial management by analyzing claims, calling insurance carriers, and documenting actions in billing summary notes.
- Review emails and client updates regularly to stay aligned with process requirements.
- Escalate unresolved issues promptly to the supervisor.
- Update production logs and maintain accurate reporting.
- Maintain strict adherence to company policies, compliance, and confidentiality standards.
Requirements:
- Strong understanding of Healthcare RCM (Revenue Cycle Management) and US Healthcare concepts.
- 1–4 years of hands-on experience in AR Calling / Denial Management.
- Proficiency in interacting with insurance companies for claims follow-up.
- Excellent knowledge of denial management and AR follow-up processes.
- Ability to achieve daily / monthly collection targets.
- Strong communication and analytical skills with attention to detail.
- Ability to prepare and maintain status and productivity reports.
- Candidates with long career gaps will not be considered.
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