Senior Executive - AR caller

Billed Right; India; On-site; INR 300,000 - 540,000; Full time

Job summary

Billed Right HealthCare Solutions Private Limited is seeking a billing professional to investigate claim rejections, analyze root causes, and resubmit claims while actively tracking AR aging and ensuring adherence to payer policies. This role requires careful attention to accuracy and timely actions.

Daily routines include planning, participating in Daily Huddles, performing AR follow-ups, and sending end-of-day statuses to the Team Leader.

Qualifications

• 2+ years’ experience End-to-end process in RCM.
• Experience with claim denials and re-submissions.
• Strong written and verbal communication skills.

Responsibilities

• Investigate claim rejections or denials, identify root causes, and take corrective actions to resolve issues and resubmit claims.
• Track outstanding accounts and work to reduce aging AR through timely follow-ups
• Ensure adherence to healthcare regulations, payer policies, and internal guidelines to maintain accuracy of the billing process.

Skills

RCM

AR aging

Payer communications

Excel

Word

Education

Any Degree

Tools

IMS/eCW

Job description

Billed Right HealthCare Solutions Private Limited | Full time

• Investigate claim rejections or denials, identify root causes, and take corrective actions to resolve issues and resubmit claims.
• Track outstanding accounts and work to reduce aging AR through timely follow-ups
• Should met the standard quality of above 98 % and quantity of 100%
• Report to team leaders about inventories.
• Ensure adherence to healthcare regulations, payer policies, and internal guidelines to maintain the accuracy and integrity of the billing process.

Daily Routine:

• Planning the day & Prioritizing the tasks
• Active participation in Daily Huddles
• Need to take action for Sec Rejections/Denials
• AR Activity (Follow-up, Attention Required, No Resp, etc,. )
• Need to send EOD status to Team leader
• Need to initiate the call to the payers and obtain the required information.

Weekly Routine:

• Preparing AR clarifications
• Secondary claims review & Submission
• Weekly meeting with Team leader/Manager
• Weekly denials trend analysis

Monthly Routine:

• Updating company scorecards
• Small Balance Adjustment
• AR Clarification/UC claims list preparation

Skills and Competencies:

• Basic technical skills in computer (Word & Excel)
• Good written and verbal communication skills
• Ability to explain billing issues to the supervisors clearly and professionally.
• Competency in identifying issues with claim payments or denials and finding solutions.
• Ability to track outstanding receivables and prioritize collections based on aging.

Qualifications:

• Any Degree and above.
• 2+ years’ experience End-to-end process in RCM.
• Knowledge in our Major PMS (IMS/eCW
• Typing Skills (30 WPM with >95% Accuracy)