JOB TITLE: Trainee/ Junior Account Executive
JOB SUMMARY:
Working in U.S. Shifts, the executives in this department,collect billing outstanding, on behalf of Doctors, Hospitals and Healthcareproviders.
Job Requisites:
- Undergraduate degree completed orcurrently pursuing, preferably in Arts and Science.
- Adherence to U.S. Shift Timings
- Having 1 or more years of experience in the relevant role
Desired Skills:
- Client Orientation: Pleasant,professional, and courteous personality, dealing with people at all levels,internal and external.
- Being a Go-getter: Abilityto present ideas in business-friendly and user-friendly language; Highlyself-motivated, self-directed, and attentive to detail; team-oriented,collaborative; ability to effectively prioritize and execute tasks in ahigh-pressure environment.
- Multi-tasking skills: Abilityto analyse, prioritize and work with focus.
- TechnicalSkills : Ability towork effectively on online platforms and specialized software
Roles and Responsibilities
- Perform pre-call analysis and check status by calling thepayer or using IVR or web portal services
- Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audittrail for future reference
- Record after-call actions and perform post call analysis forthe claim follow-up
- Assess and resolve enquiries, requests and complaints throughcalling to ensure that customer enquiries are resolved at first point ofcontact
- Provide accurate product/ service information to customer,research available documentation including authorization, nursing notes,medical documentation on client's systems, interpret explanation of benefitsreceived etc prior to making the call
- Perform analysis of accounts receivable data and understandthe reasons for underpayment, days in A/R, top denial reasons, use appropriatecodes to be used in documentation of the reasons for denials / underpayments
- Ensuring the daily assignedaccounts are resolved/ worked on
- Escalate difficult collection situations to Team Leaderssituations and seek education and instruction.