Senior Executive - AR caller
Responsibilities
Investigate claim rejections or denials, identify root causes, and take corrective actions to resolve issues and resubmit claims.
Track outstanding accounts and work to reduce aging AR through timely follow-ups
Should met the standard quality of above 98 % and quantity of 100%
Report to team leaders about inventories.
Ensure adherence to healthcare regulations, payer policies, and internal guidelines to maintain the accuracy and integrity of the billing process.
Daily Routine
Planning the day Prioritizing the tasks
Active participation in Daily Huddles
Handling tickets
Need to take action for Sec Rejections/Denials
AR Activity (Follow-up, Attention Required, No Resp, etc,.)
Need to send EOD status to Team leader
Need to initiate the call to the payers and obtain the required information.
Weekly Routine
Preparing AR clarifications
Secondary claims review Submission
Weekly meeting with Team leader/Manager
Weekly denials trend analysis
Monthly Routine
Updating company scorecards
Small Balance Adjustment
AR Clarification/UC claims list preparation
Redzone clients status update.
Skills and Competencies
Basic technical skills in computer (Word Excel)
Positive written and verbal communication skills
Ability to explain billing issues to the supervisors clearly and professionally.
Competency in identifying issues with claim payments or denials and finding solutions.
Ability to track outstanding receivables and prioritize collections based on aging.
Qualifications
Any Degree and above.
2+ years experience End-to-end process in RCM.
Knowledge in our Major PMS (IMS/eCW
Typing Skills (30 WPM with >95% Accuracy)
Key Performance Indicators (KPIs)
Quality % ->=98%
Quantity % (Productivity) - 100%
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