Senior Executive - AR

Role Description Overview:

The User is accountable to manage day to day activities of Denials Processing/ Claims follow-up/ Customer Service

Responsibility Areas:

• Should handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable.
• To work closely with the team leader.
• Ensure that the deliverables to the client adhere to the quality standards.
• Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims.
• Calling the insurance carrier & Document the actions taken in claims billing summary notes.
• To review emails for any updates
• Identify issues and escalate the same to the immediate supervisor
• Update Production logs
• Strict adherence to the company policies and procedures.
• Sound knowledge in Healthcare concept.
• Should have 6 months to 3 Yrs of AR calling Experience.
• Excellent Knowledge on Denial management.
• Understand the client requirements and specifications of the project
• Should be proficient in calling the insurance companies.
• Ensure targeted collections are met on a daily / monthly basis
• Meet the productivity targets of clients within the stipulated time.
• Ensure accurate and timely follow up on pending claims wherein required.
• Prepare and Maintain status reports