Handles US healthcare accounts receivable calling by contacting insurers, resolving unpaid claims, prioritizing aging accounts, verifying insurance information, and following up to prevent revenue loss. The role also addresses billing queries, updates patient accounts, posts cash, applies contractual write-offs, meets productivity targets, escalates complex collection issues, and follows HIPAA, LCD/NCD, CPT, and modifier guidelines.
Sr. Executive- AR caller:
Qualifications: Science Graduates.
Experience: 3 to 5 years in US Healthcare AR Calling
Communication Skill:
Excellent oral and written communication skills
Working Hours:
40 hours per week as Full-time employee
Shift time: 5:30 PM IST - 2:30 AM IST
Weekends Off
Telecommuter/Internet requirements, if applicable:
High Speed internet connection at home, must be broadband
Must understand and adhere with telecommuter policy
Responsibilities- 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
- Should have knowledge on MCR LCD/NCD Guidelines and should know how to utilize the portal for LCD/NCD Guidelines for any CPT or Modifier.
- Qualifications: Science Graduation
- Experience: Should have 3 to 5 years in US Healthcare AR Calling
- Should have knowledge on Surgery, ASC, Ortho, Neuro, and Pain Management.
- Excellent oral and written communication skills
EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world’s leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 54,000 employees spanning six continents. For more information, visit www.exlservice.com.
EXL Chennai, Tamil Nadu, IND Office
Chennai, India
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