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AR - ARE PROCESS EXECUTIVE

Fresher   Bangalore   03 Aug, 2023
OMEGA HEALTHCARE MANAGEMENT SERVICES PRIVATE LIMITED
Job LocationBangalore
EducationNot Mentioned
SalaryNot Disclosed
IndustryKPO / Analytics
Functional AreaCustomer Service (International)
EmploymentTypeFull-time

Job Description

    Roles and Responsibilities
    • Call Payer (Insurance) to resolve claims (denial/non-denial) after review from PMS, internal system & process toward resolution (Payment, Adjustment & self-pay).
    • Identify potential process improvements, trends, issues and escalate to Supervisor through calling.
    • Follow the Workflow documentation like SOPs Update tracker, Issue Log and Trend logs.
    • Be part of all the training session to gain knowledge towards RCM.
    • Resolve complex patient account issues requiring investigation of system timeline comments, payer reimbursements and account transactions
    • Identify the accounts which does not require calling and can be fixed by Analyst to resolve
    • Logical thinking to identify the trends, resolve accounts for an error free account
    • Identify payer issues and leads special projects to aggregate claim data for payer reprocessing and escalate complex payer issues to the lead billing specialist as necessary
    Desired Candidate Profile
    • Freshers
    • Graduates
    • Good communication skills
    Perks and Benefits
    • Quarterly Incentives
    • 5 days a week
    • All US holidays along with Indian Holidays
    • Very lucrative employee referral policy

Keyskills :
us healthcarenight shift

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