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Senior Executive - Operations

EXL Service -
Chennai, Tamil Nadu

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Job details

Full-time

Qualifications

CPT coding
Communication skills

Full job description

Job Description: 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: 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

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