Account Executive - Band 8

Coronis Health; Chennai District; On-site; INR 250,000 - 450,000; Full time

Job summary

Coronis Health in Chennai is seeking a US-billing associate to support physicians, hospitals, and healthcare providers by handling billing inquiries and follow-ups. The role requires an undergraduate degree, excellent English, and adherence to US shift timings.

The candidate should possess strong analytical and listening skills along with proficiency in MS Office to maintain client documentation, audit trails, and claim follow-ups.

Qualifications

• Under graduation degree, preferably Arts/Science.
• Excellent English communication skills.
• Adherence to U.S. shift timings.
• Good analytical and listening skills.
• Working knowledge of MS Office.

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 an audit trail.
• Record after-call actions and perform post-call analysis for the claim follow-up.
• Assess and resolve inquiries, requests and complaints to ensure customer inquiries are resolved at first point of contact.
• Provide accurate product/service information, interpret explanations of benefits and related documents prior to making the call.
• Analyze accounts receivable data to understand underpayments, days in A/R, and top denial reasons; document denial reasons.
• Ensure daily assigned accounts are resolved/worked on.
• Escalate difficult collections situations to Team Leaders for guidance.

Skills

Excellent English Communication Skills

Analytical thinking

Listening skills

MS Office knowledge

Education

Under Graduation Degree – Preferably, Arts and Science

Tools

MS Office

Job description

Working in U.S. Shifts, the executivesin this department, collect billing outstanding, on behalf of Doctors,Hospitals and Healthcare providers.

Job Requisites:

• Under Graduation Degree – Preferably,Arts and Science
• Excellent English Communication Skills
• Adherence to U.S. Shift Timings
• Good analytical and listening skills
• Working knowledge in MS office

Roles and Responsibilities

• Perform pre-callanalysis and check status by calling the payer or using IVR or web portalservices
• Maintain adequatedocumentation on the client software to send necessary documentation toinsurance companies and maintain a clear audit trail for future reference
• Record after-callactions and perform post call analysis for the claim follow-up
• Assess and resolveenquiries, requests and complaints through calling to ensure that customerenquiries are resolved at first point of contact
• Provide accurateproduct/ service information to customer, research available documentationincluding authorization, nursing notes, medical documentation on client'ssystems, interpret explanation of benefits received etc prior to makingthe call
• Perform analysis ofaccounts receivable data and understand the reasons for underpayment, daysin A/R, top denial reasons, use appropriate codes to be used indocumentation of the reasons for denials / underpayments
• Ensuring the daily assigned accountsare resolved/ worked on
• Escalate difficult collectionsituations to Team Leaders situations and seek education and instruction.