Senior Associate

THL; Navi Mumbai; On-site; INR 300,000 - 420,000; Full time

Job summary

THL in Navi Mumbai seeks a Process Associate to analyze receivables from healthcare payors and perform non-voice/voice follow-ups for reimbursements. The role focuses on denial and appeal management while maintaining HIPAA compliance.

You will review accounts, file CMS forms, and maintain strong communication with payors and patients to ensure timely resolution and high service standards.

Qualifications

• Review patient accounts and perform follow up actions to resolve outstanding balances.
• Complete and send appropriate claim forms per CMS and third-party payor guidelines.
• Follow up with medical insurance payors regarding status of outstanding claims.
• Adhere to HIPAA and confidentiality requirements.

Responsibilities

• Review patient accounts and perform 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 regarding outstanding self-pay balances.
• Document all actions in Infinx or Client host system.
• Research payor rules and regulations to maintain current payor knowledge.
• Meet productivity, quality and client service goals.

Skills

Productivity & quality

Accuracy

Communication skills

Multitasking

Education

HSC/10+2 equivalent

Any graduate preferred

Bachelor’s degree preferred

Job description

1 - 5 Years

Permanent

Job Description

Designation/ Role: Process Associate/ Sr 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:

• 2.Bachelor’s degree preferred, or any equivalent combination of education and experience.
• 3.Ability to perform at a high level of productivity and quality.
• 4.Capacity to maintain a high level of accuracy.
• 5.Excellent written and oral communication skills required to represent Infinx Clients.
• 7.Skills to work independently and be resourceful with the ability to multitask.

Experience

• 1–3 years’ experience US calling process.

Job Description

The job involves an analysis of receivables due from healthcare insurance companies and initiation of necessary follow-up actions to get reimbursed. This will include a combination of voice and non-voice follow-up along with undertaking appropriate denial and appeal management protocol.

Job Responsibilities

A successful candidate will perform the following activities:

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

Job Snapshot

Updated Date

Job ID

Job_1589

Function

Modular Services

Location