Job Description
Junior Revenue Cycle Representative AR/EVBV As a Junior Revenue Cycle Rep, you will play a critical role in managing the organization’s Revenue inflows. Your primary responsibility will be ensuring that the providers are receiving timely payments.
Key Responsibilities
AR:
• Review outstanding insurance balances to identify and resolve issues preventing the claim payment, including coordination with the payers when appropriate via call or through website
• Analyze the outstanding claims/claim denials to improve first pass denial rates and reduce age of overall AR
• Ensure that all the workflow items are completed within set turn around time within quality expectations
• Responsible to follow up with insurance/payer for the claim status
• Responsible for sending appeal package through appropriate channels (fax/email/electronic portals) along with attaching the supporting documents such as medical records
• Confirm patient’s insurance coverage and active status
• Contact insurance/payer or use online portals for real time verification
Key Responsibilities
EVBV:
• Verify patient insurance coverage and eligibility for medical services
• Contact insurance companies via phone, online portals, or fax to confirm perks and policy details
• Accurately document insurance verification details in the system
• Identify and resolve discrepancies in insurance information Qualification: Graduates from Commerce and Science streams only. (Postgraduates, Diploma holders, and Life Science graduates are not eligible.) Required
Skills:
• Ability to communicate effectively
• Good analytical skills where you can analyze the reason for rejection and/or denial
• Good writing skills
• Proven efficient and accurate keyboard/typing skills
• Flexible to work in night shift