- Ensure quality driven follow-up activities and resolution of accounts is carried out with the insurance carriers on the outstanding inventory to yield maximum cash flow and minimum bad debts.
- Interact by phone and check Internet based portals of the insurance companies in US to procure status of the claim followed by appropriate activities to address open AR.
- The key functions of an AR Executive are to ensure the below responsibilities are carried out to the best of his/her ability in the interest of the organization and client.
Key Responsibilities:
- To address outstanding or assigned AR through phone call and analysis using available resources.
- Utilization of all possible tools and applications available to take account to the next level of resolution, which would result in a payment, corrected submission, appeals, patient transfer or adjustment.
- To report trends / patterns in denials, claim submission errors, credentialing issues and billing related roadblocks to the immediate reporting manager.
- To meet the established SLAs (service level agreements) for production and quality.
- To update the outcome of the calls or analysis in a clear and coherent manner in the billing system.
- To utilize the and stay updated with changes done with the P & Ps
- To improve the performance based on the feedback provided by the reporting manager / quality audit team.
Qualifications:
Education:
- Graduation mandatory
Experience:
- Min.1 year to 2 years of provider side AR calling experience in HB.
Skills:
- Good verbal and written communication skills
- Domain knowledge on various billing terminologies & processes
- Attention to detail
- Logical thinking