Process Associate

INFINX; Hyderabad; On-site; INR 350,000 - 520,000; Full time

Job summary

INFINX in Hyderabad is seeking a Process Associate to join the Accounts Receivable team on a night shift. The role requires 13 years of US calling process experience and strong claims management or customer service background.

You will review patient accounts, complete CMS-guided claim forms, and follow up with payors. Excellent communication and high accuracy are essential to succeed in this position.

Qualifications

• Proficient knowledge in claims management or customer service.
• Strong written and spoken communication to represent Infinx clients.
• Ability to perform at a high level of productivity and quality.
• Capacity to maintain a high level of accuracy.

Responsibilities

• Review patient accounts and perform follow-up actions to resolve outstanding balances.
• Complete and send claim forms according to CMS and payor guidelines.
• Follow up with medical insurance payors regarding claim status.
• Contact patients and guarantors regarding self-pay balances.
• Compose correspondence to insurance payors, third parties, and patients regarding resolution of balances and appeals.
• Document all actions in Infinx or client systems.
• Adhere to HIPAA and confidentiality requirements at all times.
• Research payor rules to maintain current knowledge.
• Demonstrate service excellence to patients, clients, and employees.

Skills

Claims handling

Communication skills

MS Office

Independent worker

Multitasking

Education

Minimum HSC/10+2 Equivalent (Any Graduate Preferred)

Job description

Process Associate

JOB DESCRIPTION

Designation/ Role:

Process Associate/

Department:

Accounts Receivable

Work Timing:

Night Shift

Qualifications:

Minimum HSC/10+2 Equivalent (Any Graduate Preferred)

Skills:

• A successful candidate must have proficient knowledge/capabilities in the following areas:
• Claims management and/or customer service experience desired.
• Ability to perform at a high level of productivity and quality.
• Capacity to maintain a high level of accuracy.
• Excellent written and oral communication skills required to represent Infinx Clients.
• Computer skills including Microsoft Office Suite.
• Skills to work independently and be resourceful with the ability to multitask.

Experience:

13 years experience US calling process.

Job Responsibilities:

• Review patient accounts and perform appropriate follow up actions to resolve the outstanding balance according to best practice standards.
• Complete and send appropriate claim forms according to CMS and third-party payor guidelines.
• Follow up with medical insurance payors regarding the status of outstanding claims.
• Contact patients and guarantors regarding outstanding self-pay balances due.
• Compose correspondence to insurance payors, third parties, and patients regarding the resolution of outstanding balances and claim appeals.
• Document all actions taken in appropriate Infinx or Client host system.
• Adhere to HIPAA, patient confidentiality and compliance requirements at all times.
• Research payor rules and regulations to maintain current payor knowledge.
• Demonstrate service excellence to all patients, clients, and employees of Infinx.
• Meet individual and team goals for productivity, quality and results to Clients.