JOB TITLE: Trainee/Junior Account ExecutiveJOB SUMMARY: Working in U.S. Shifts, the executives in this department, collect billing outstanding, on behalf of Doctors, Hospitals and Healthcare providers. Job Requisites: • Undergraduate degree completed or currently pursuing, preferably in Arts and Science.• Excellent English Communication Skills • Adherence to U.S. Shift Timings • Having 1 or more years of experience in the relevant role Desired Skills: • Client Orientation: Pleasant, professional, and courteous personality, dealing with people at all levels, internal and external. • Being a Go-getter: Ability to present ideas in business-friendly and user-friendly language; Highly self-motivated, self-directed, and attentive to detail; team-oriented, collaborative; ability to effectively prioritize and execute tasks in a high-pressure environment. • Multi-tasking skills: Ability to analyse, prioritize and work with focus. • Technical Skills: Ability to work effectively on online platforms and specialized software Roles and Responsibilities • Perform pre-call analysis and check status by calling the payer or using IVR or web portal services • Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference • Record after-call actions and perform post call analysis for the claim follow-up • Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact • Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc prior to making the call • Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments • Ensuring the daily assigned accounts are resolved/ worked on • Escalate difficult collection situations to Team Leaders situations and seek education and instruction. This is a target and quality based role.
