Walk in Drive - AR callers - Collections representative - Oct 10th

Primary Responsibilities:

Review outstanding insurance balances to identify and resolve issues preventing finalization of claim payment, including coordinating with payers, patients and clients when appropriate

Analyze and trend data, recommending solutions to improve first pass denial rates and reduce age of overall AR

Accounts Receivable Specialist that has an "understanding" of the whole accounting cycle / claim life cycle

Ensure all workflow items are completed within the set turn-around-time within quality expectations

Be able to analyze EOBs and denials at a claim level in addition they should find trends impacting dollar and 's, leading to process improvements

Perform other duties as assigned

Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications:

Graduate

1.5+ years and above experience in healthcare accounts receivable required (Denial Management)

Functional knowledge of HIPAA rules and regulations and experience related to privacy laws, access and release of information

Solid knowledge of medical insurance (HMO, PPO, Medicare, Medicaid, Private Payers)

In-depth working knowledge of the various applications associated with the workflows

Proficient in MS Office software; particularly Excel and Outlook

Proven ability to communicate effectively with all internal and external clients

Proven ability to use good judgment and critical thinking skills; ability to identify and resolve problems

Proven efficient and accurate keyboard/typing skills

Proven solid work ethic and a high level of professionalism with a commitment to client/patient satisfaction

Role: Healthcare & Life Sciences - Other,

Industry Type: Analytics / KPO / Research,

Department: Healthcare & Life Sciences,

Employment Type: Full Time, Permanent

Role Category: Healthcare & Life Sciences - Other