Working on patient AR, sending collection letters.
Working on patient correspondence.
Working on patient budget plans.
Working on patient return mails.
Must have positive communication skills (oral and written)
Knowledge of MS Office (Excel and Word)
Needs to have flexibility, adaptability and agilityRole & responsibilities
JD for Payment Posting Team
Understand the PMS navigation in detail.
Understanding of clearing house navigation and insurance portal navigation.
Maintaining daily inventory/work log accurately and ensuring accurate status updated against them.
Detailed knowledge of transaction and reason code and its impact.
Posting ERA payments and ensure accurate posting with appropriate transaction/reason codes and its impact.
Posting Manual payments and ensure accurate posting with appropriate transaction/reason codes and its impact.
Reconciling/tallying the batches before posting them.
Running daily reports as per process/pms. (Exception reports, 100% allowed, 100% adjustment, low reimbursement, etc).
Good knowledge of Ms Office
Excellent written and verbal communication skills.
JD for Insurance Follow Up/Accounts Receivable Team
Understand the PMS navigation in detail.
Understanding of clearing house navigation and insurance portal navigation.
Detailed knowledge of CPTs/DX/modifiers
Maintaining daily inventory/work log accurately and ensuring accurate status updated against them.
Work on my tasks on daily basis
Work on denials tasks/insurance follow up tasks accurately
Work on high $ and older claims on high priority
Ensure proper analysis is done before concluding or taking any action on denials
Need to navigate all the tools/tabs in PMS/EPM/EHR, clearing house, payer portal to retrieve/validate the required information required to get the claims adjudicated for payments
Ensure timely follow up on the claims.
Good knowledge of Ms Office
Excellent written and verbal communication skills.
JD for Charge posting/Billing Team
Understand the PMS navigation in detail.
Understanding of clearing house navigation and insurance portal navigation.
Maintaining daily inventory/work log accurately and ensuring accurate status updated against them.
Detailed knowledge for CPTs/DX/modifiers
Good knowledge of Ms Office
Excellent written and verbal communication skills.
JD for Patient Financial Services
Understand the PMS navigation in detail.
Understanding of clearing house navigation and insurance portal navigation.
Maintaining daily inventory/work log accurately and ensuring accurate status updated against them.
Ensure working on my tasks on daily basis
COB tasks should be thoroughly validated for its accuracy before making attempts to call patients for the required information.
Work on Budget cases as per requirements.
Work on patient query tasks accurately.
Attend patient inbound calls and ensure resolution is provided to the patient to the best extent possible.
Ensure calls are routed to survey at the end.
Good knowledge of Ms Office
Excellent written and verbal communication skills.