. 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 advantages 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 1 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