Senior Executive – Operations

Role Overview

• Review, Call, 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)

Requirements

• Graduate in any stream; customer service; must be computer literate; have multi-tasking skills, excellent organizational skills, verbal and written communication skills; team player.
• 2-5 Years for A2 Band
• Good organizational skills and the ability to multi-task
• Ability to operate basic office equipment, answer multi-line telephones, and have a strong computer background.
• Establish and maintain effective working relationships with patients, insurance companies, and staff.
• Good written and oral communications.
• Knowledge and skills in working with computerized billing systems including practice management software and EMR.
• Must adhere to all HIPAA guidelines and regulations.
• Knowledge of medical insurance and authorization processes.
• Some medical terminology and experience working in a healthcare or insurance environment.

Benefits

• Maintain proper observation and adherence to company policies and procedures
• Must understand and adhere with telecommuter policy
• Must have power backup to mitigate power outage