Process Associate

This position is based out of the Hyderabad location, responsible for the following: Ensure quality driven follow-up activities and resolution of accounts is carried out with the insurance carriers on the outstanding inventory to yield maximum cash flow and minimum bad debts Interact by Phone and Internet based portals with the insurance companies in US to procure status of the claim followed by appropriate activities to address open AR The key functions of an AR Executive is to ensure the below responsibilities are carried out to the best of his/her ability in the interest of the organization and client responsibilities To address outstanding or assigned AR through analysis and phone calls by using available resources Utilization of all possible tools and applications available to take account to the next level of resolution, which would result in a payment, corrected submission, appeals, patient transfer or adjustment To report trends / patterns in denials, claim submission errors, credentialing issues and billing related road blocks to the immediate reporting manager To meet the established SLAs (service level agreements) for production and quality To update the outcome of the calls or analysis in a clear and coherent manner in the billing system To utilize the P & P's (policies and procedures) established for the process and also stay updated with changes done with the P & Ps To improve the performance based on the feedback provided by the reporting manager / quality audit team COMPLIANCE Should adhere to applicable Do's & Don'ts of implemented Information Security Management System (IEC/ISO 27001:2013) and HIPAA regulations Required Candidate profile ACADEMIC AND PROFESSIONAL BACKGROUND University graduate with an average aptitude score Minimum 1 year - 4 years in AR follow-up/Denial management experience with either physician or hospital billing background CPAT/CCAT certification will be an added advantage Looking for aspirants who can join us immediately/within next 15 days of selection COMPETENCIES, SKILLS AND OTHER REQUISITES Sound analytical skills Logical thinking Attention to detail Adequate domain knowledge on various billing terminologies & processes Good verbal and written communication skills Perks and Benefits Best in the Industry with Attractive Incentives

Job Type: Full-time

Schedule:

• US shift

Supplemental Pay:

• Joining bonus

Experience:

• healthcare: 1 year (Required)

Work Remotely:

• No

We are an analytics-driven, technology-enabled revenue cycle management company that alleviates financial and administrative burdens on healthcare providers by providing billing, coding, automation and analytics services. Our approach is simple: attention to detail and concern for accuracy. Learn more at agshealth.com.