Designation/ Role :ProcessAssociate/ Sr Process Associate
Department :Accounts Receivable
Work Timing : Night Shift
Qualifications : Minimum HSC/10+2 Equivalent ( Any Graduate Preferred )
Skills :
- Claims management and/or customer service experience desired.
- Bachelor’s degree preferred, or any equivalent combination of education and experience.
- Ability to perform at a high level of productivity and quality.
- Capacity to maintain a high level of accuracy.
- Excellent written and oral communication skills required to represent Infinx Clients.
- Computer skills including Microsoft Office Suite.
- Skills to work independently and be resourceful with the ability to multitask.
Experience
1-3 years’ experience US calling process.
The job involves an analysis of receivables due from healthcare insurance companies and initiation of necessary follow-up actions to get reimbursed. This will include a combination of voice and non-voice follow-up along with undertaking appropriate denial and appeal management protocol.
Responsibilities :
- Review patient accounts and perform appropriate follow up actions to resolve the outstanding balance according to best practice standards.
- Complete and send appropriate claim forms according to CMS and third-party payor guidelines.
- Follow up with medical insurance payors regarding the status of outstanding claims.
- Contact patients and guarantors regarding outstanding self-pay balances due.
- Compose correspondence to insurance payors, third parties, and patients regarding the resolution of outstanding balances and claim appeals.
- Document all actions taken in appropriate Infinx or Client host system.
- Adhere to HIPAA, patient confidentiality and compliance requirements at all times.
- Research payor rules and regulations to maintain current payor knowledge.
- Demonstrate service excellence to all patients, clients, and employees of Infinx.
- Meet individual and team goals for productivity, quality and results to Clients.
Job Types : Full-time, Permanent
Pay: ₹30,000.00 - ₹40,000.00 per month
Advantages :
- Health insurance
- Provident Fund
Application Question(s):
- Are you willing to work from Navi Mumbai (Turbhe location)?
- Are you available to work US shift timings?
- Are you familiar with HIPAA compliance and US healthcare documentation standards?
- Have you worked exclusively on US healthcare accounts (RCM/Medical Billing)?