Exciting Opportunities For AR Follow-up Representative
- Bizmatics India
- 4 - 7 years
- Mumbai
- 11 days ago
- Email to a friend
- Report this job
Job Description
Exciting Opportunities for Accounts Receivable Representatives (AR Follow-up)
Job Title: AR Follow-up Representative
Job Summary:
The Account Follow-up Representative is responsible for review and resolution of outstanding insurance balances for hospital patient accounts. The Account Follow-up Representative is required to learn multiple hospital systems, conduct research, and work basic & complex patient accounts with outstanding insurance claims in pursuit of resolving unpaid claims. The primary goal of an Account Follow-up Representative is to complete tasks related to timely resolution of unpaid insurance claims.
Role & responsibilities
- Timely follow-up on hospital patient accounts that are outstanding for insurance payment, including but not limited to the following processes: verify claim payment status, rebill to patients insurance, proration to correct financial class and notation within patient accounts providing steps taken to resolve outstanding insurance balance on account.
- Work an average of 30-40 patient accounts per workday for assigned payor(s)
- Manages an average of 30-40 patient accounts per day, focusing on denial and zero-pay reporting.
- Assigned Payor denials and Zero ($0) pay reports worked within 48 hours of receipt
- Communicate effectively with insurance companies for payment of outstanding insurance balances, understanding of next steps needed to reach resolution of outstanding insurance balance
- Perform research on patient accounts with outstanding insurance balances and route patient accounts through appropriate workflows
- Responsible for resolving patient accounts with outstanding insurance claims to a zero balance or advancing them to the patient responsibility financial class.
- Performs account follow-up on unpaid or partially paid insurance claims for hospital services.
- Contacts insurance payors through various methods, including telephone calls, Insurance payor web portals, E-faxing, email
- Investigates the cause of non-payment towards outstanding hospital claims and takes appropriate actions such as: Requesting insurance companies to process claims, requesting cash posting review for corrections, initiating coding reviews for account resolution, contacting patient for insurance information
- Completes adjustment requests for Team Lead approval if an adjustment to the outstanding balance
- Submits requests for claim rebilling when additional information is required, using either a shared spreadsheet or the EHR system. Utilizes MEDTEAMs ticketing system to submit claim inquiry requests if additional information or review from the hospital is required.
Preferred candidate profile
Minimum Qualifications:
- High School or equivalency diploma required
- 2 years experience in account follow-up role performing follow-up on hospitals inpatient and outpatient insurance claims
- Bilingual (written, verbal and listening)
Soft Skills:
- Excellent communication, good judgment, tact, initiative, and resourcefulness
- Must be detail oriented, organized, and ability to multi-task
- Possess ability to concentrate for long periods of time
- Ability to work individually and/or as part of a team
- Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives
- Must be flexible with a can do attitude and the ability to remain professional under high pressure situations
- Demonstrates the ability to learn new systems quickly and develop proficient operating skills within a reasonably short timeframe
- Must be able to follow directions and to perform work according to department standards independently
- Must be emotionally mature and able to function effectively under high pressure situations.
Interested Candidates can apply on below job
https://harriscomputer.wd3.myworkdayjobs.com/1/job/Remote---India/Account-Follow-up-Representative_R0028057
Shift Timing:
6.30pm-3.30am
Mode of Work:: Work from office
Job Classification
Industry: BPM / BPOFunctional Area / Department: Healthcare & Life SciencesRole Category: Health InformaticsRole: Health Informatics - OtherEmployement Type: Full timeContact Details:
Company: Bizmatics IndiaLocation(s): Mumbai
Keyskills: Ar Follow Up Hospital Billing US Healthcare AR Hospital Billing RCM Medical Billing
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