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0-1 years
Not Disclosed
10 Dec. 2, 2024
Job Description
Job Type: Full Time Education: B.Sc./M.Sc./B.Pharm/M.Pharm/Life science Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Job Title: Accounts Receivable (AR) Associate

Department: Revenue Cycle Management

Location: [Specify Location]

Reporting To: Team Lead


Role Description Overview:

The AR Associate is responsible for managing day-to-day tasks related to denials processing, claims follow-up, and customer service, ensuring efficient and timely resolution of claims while meeting quality and productivity standards.


Key Responsibilities:

  1. Communication and Follow-up:

    • Review emails daily to check for updates and ensure timely action.
    • Contact insurance carriers to follow up on outstanding claims and document actions in the designated software and spreadsheets.
  2. Claims Resolution:

    • Process denied claims by analyzing root causes and taking corrective measures.
    • Escalate unresolved issues to the immediate supervisor for further assistance.
  3. Productivity and Performance:

    • Ensure targeted collections are achieved daily and monthly.
    • Meet and exceed client productivity and quality benchmarks within stipulated deadlines.
  4. Reporting and Documentation:

    • Maintain and update production logs accurately.
    • Prepare and share status reports, including details of pending claims and resolutions.
  5. Compliance and Quality:

    • Ensure deliverables adhere to established quality standards.
    • Understand and align with client-specific requirements and project specifications.
  6. Escalations and Issue Resolution:

    • Identify bottlenecks and escalate concerns to supervisors as needed to ensure smooth workflow.

Job Specifications:

  • Experience:

    • 6 months to 2 years of experience in AR follow-up, denials management, or a similar role is preferred.
  • Education:

    • Graduation in any discipline.
  • Skills:

    • Strong verbal and written communication skills.
    • Proficiency in relevant software and Microsoft Excel.
    • Basic understanding of medical billing, coding, and insurance processes.
    • Ability to multitask, work under pressure, and adhere to deadlines.

Shift Details:

  • Night Shift / US Shift

Work Mode:

  • Work From Office (WFO)

This position is ideal for candidates who are detail-oriented, have excellent communication skills, and are eager to contribute to streamlined claims resolution processes.