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Mar_Ops_Jr_RCR_AR
2 months ago
Key Responsibilities:
Process:
● Responsible for achieving the defined TAT on deliverables with the agreed Quality benchmark score.
● Responsible for analyzing an account and taking the correct action.
● Ensuring that every action to be taken should be resolution oriented whilst working on the specific task/case assigned.
● Task claims to appropriate teams where a specific department within IKS, or client's assistance is required to resolve them.
AR:
● Follow up with the payors on open claims beyond a reasonable time period to identify it's accurate action.
● Analyze denials from insurances, verify its authenticity, understand causes and resolve them.
● Ensure claims are followed up as per assigned ticklers within the stated time period.
● Manage ageing on the assigned workfile.
EV/BV:
● Responsible for reaching out to the payor to check on the insurance eligibility and the benefits of the patient
● Addressing the claims to insurance or Self Pay (Patient Attention) based on the eligibility identified
Qualifications:
● Graduate from any discipline is a must
Role Prerequisites:
● Freshers directly out of college/institutions/to the industry OR Minimum year and above experience in AR, PP, Billing and EV/BV is a must.
Functional Competencies:
● Knowledge of the US healthcare RCM industry would be preferred
● Basic Knowledge of working on computers would be preferred
● Basic Knowledge of MS Office would be preferred. ● Typing Speed ● Eye for Detail
Behavioral Competencies:
● Team Work ● Communication ● Customer Service Orientation ● Accountability ● Analytical Thinking
Please note: The competencies highlighted above under the functional and behavioral competencies are the MUST HAVE competencies in the role and need to be mandatorily measured during the assessments OR hiring proces
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Mar_Ops_Jr_RCR_AR
2 months ago
Mumbai, India IKS Health Full timeKey Responsibilities:Process:● Responsible for achieving the defined TAT on deliverables with the agreed Quality benchmark score.● Responsible for analyzing an account and taking the correct action.● Ensuring that every action to be taken should be resolution oriented whilst working on the specific task/case assigned.● Task claims to appropriate...
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Mar_Ops_Jr_RCR_AR
2 months ago
mumbai, India IKS Health Full timeKey Responsibilities: Process: ● Responsible for achieving the defined TAT on deliverables with the agreed Quality benchmark score. ● Responsible for analyzing an account and taking the correct action. ● Ensuring that every action to be taken should be resolution oriented whilst working on the specific task/case assigned. ● Task...