Key skills
AIAnalyticsCommunicationTime ManagementCollaboration
About this role
PROFESSIONAL:
- Recognize and respect cultural diversity.
- Adapt communication to an individual’s ability to understand. • Use medical terminology appropriately.
- Respond to communications received within a reasonable time frame.
- Project a professional manner and image.
- Adhere to ethical principles.
- Demonstrate initiative and responsibility.
- Work as a team member.
- Efficient Time Management.
- Prioritize and perform multiple tasks.
- Adapt to change, including new hours of operation and methodology.
- Attend functional team meetings and mandatory in-service education.
- Maintain proper observation and adherence to company policies and procedures.
- Interact and probe the insurance representative to get the required status update and have the claim resolved
- 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
- REQUIRED EDUCATION/EXPERIENCE: Graduate in any stream; customer service; must be computer literate; have multi-tasking skills, excellent organizational skills, verbal and written communication skills; team player.
YEARS OF EXPERIENCE:
- 2-5 Years for A1 Band
POSITION RELATIONSHIPS:
- Reports directly to the Assistant Manager
KNOWLEDGE, SKILLS, AND EXPERIENCE:
- 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.
LEGAL and COMPLIANCE:
- Maintain patient and company confidentiality.
- Practice within the scope of education, training, and personal capabilities.
- Document company documents (hard copy and electronic) accurately.
- Use appropriate guidelines for releasing information.
- Maintain awareness of US federal and US state health care legislation and regulations, PHI, HIPAA
WORKING HOURS:
- 40 hours per week as Full-time employee
- Shift time: 7:30 PM IST - 4:30 AM IST
- Weekends Off
TELECOMMUTER/INTERNET REQUIREMENT:
- High Speed internet connection at home, must be broadband with minimum of 100 MBPS Speed or above
- Must understand and adhere with telecommuter policy
- Must have power backup at to mitigate power outage