Senior Executive
EXL
Date: 10 hours ago
City: Chennai, Tamil Nadu
Contract type: Full time
Job Description_ Senior Executive - AR Analyst _ Denial management
Job Name
Senior Executive
Position Title
Senior Executive - AR Analyst
Band
A2
LOB: Denial Management – AR Analyst - RCM
Reporting To
Assistant Manager
Location/Site:
EXL India, Chennai
Overview
Review, Analyze and Manage assigned outstanding receivables portfolio by ensuring outstanding/denied claims are resolved, follow up effectively for additional information as needed with insurance companies for claims resolution, follow up with the insurance company on the outstanding/denied claims and resolve them within the timelines and defined Service Level Agreements (SLA’s), website checking and working on non-callable denials.
Qualifications
Graduation in any stream
Experience
BPO Experience : 2-5 years
US Healthcare AR Experience Preferred
Communication Skill:
Excellent written (documentation) and oral communication skills
Working Hours
40 hours per week as Full-time employee
Shift time: 12 PM IST - 9 PM IST
Weekends Off
Telecommuter/Internet Requirements, If Applicable
High Speed internet connection at home, must be broadband
Must understand and adhere with telecommuter policy
Skills And Abilities
Job Name
Senior Executive
Position Title
Senior Executive - AR Analyst
Band
A2
LOB: Denial Management – AR Analyst - RCM
Reporting To
Assistant Manager
Location/Site:
EXL India, Chennai
Overview
Review, Analyze and Manage assigned outstanding receivables portfolio by ensuring outstanding/denied claims are resolved, follow up effectively for additional information as needed with insurance companies for claims resolution, follow up with the insurance company on the outstanding/denied claims and resolve them within the timelines and defined Service Level Agreements (SLA’s), website checking and working on non-callable denials.
Qualifications
Graduation in any stream
Experience
BPO Experience : 2-5 years
US Healthcare AR Experience Preferred
Communication Skill:
Excellent written (documentation) and oral communication skills
Working Hours
40 hours per week as Full-time employee
Shift time: 12 PM IST - 9 PM IST
Weekends Off
Telecommuter/Internet Requirements, If Applicable
High Speed internet connection at home, must be broadband
Must understand and adhere with telecommuter policy
Skills And Abilities
- Working on website related claims and action based on coding team responses.
- All non-callable denials, demographic and eligibility denials need to be worked
- Ensure Daily Productivity targets are met at the required quality level on the assigned inventory,
- Perform timely follow up on claims to avoid revenue loss, Prioritize the pending claims for calling from the aging bucket,
- Review claims that have not been paid by insurance companies,
- Check insurance information provided by patient if it is insufficient or unclear,
- Follow the guidelines and applicable rules while calling insurance companies for confidentiality and HIPAA compliance,
- Escalate difficult collection situations to management in a timely manner, Handling patients billing queries and updating their account information,
- Post cash and write off the contractual adjustments accordingly while working on the accounts,
- Meeting daily/weekly and monthly targets set for an individual.
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