Ar Associate

Omega Healthcare Management Services

0-1 years

Not Disclosed

Bengaluru

7 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: AR Associate
Department: Accounts Receivable
Location: [Location]
Reporting To: Supervisor / Team Lead

Role Description Overview:

The AR Associate is responsible for managing the daily operations of Denials Processing, Claims Follow-up, and Customer Service. The role ensures efficient handling of insurance claims, timely follow-ups, and adherence to quality and productivity targets.

Responsibility Areas:

Claims Processing & Follow-Up:

Review emails for updates or changes related to insurance claims.
Contact insurance carriers to follow up on claims, document notes in software and spreadsheets, and take appropriate action.
Address pending claims through consistent follow-up to ensure timely resolution.

Issue Escalation:

Identify issues or discrepancies in claims and escalate them to the immediate supervisor for resolution.

Documentation & Reporting:

Update production logs with accurate information on claim status and actions taken.
Prepare and maintain detailed status reports to monitor claims progress and resolution.

Quality & Productivity:

Understand client requirements and project specifications to ensure adherence.
Ensure daily and monthly collection targets are met consistently.
Meet client-defined productivity benchmarks within the stipulated timelines.
Deliver client requirements while maintaining high-quality standards.

Desired Profile:

Qualifications & Skills:

Basic understanding of claims processing and healthcare insurance systems.
Proficiency in data entry, documentation, and reporting tools.
Excellent verbal and written communication skills for interaction with insurance carriers and internal stakeholders.
Ability to prioritize tasks and manage deadlines efficiently.
Strong analytical and problem-solving skills for identifying and addressing issues.

Experience:

Prior experience in AR, medical billing, or claims management is preferred but not mandatory.

Key Attributes:

Detail-oriented with the ability to maintain accurate records.
Collaborative team player with good interpersonal skills.
Willingness to learn and adapt to changing client requirements and industry standards.

How to Apply:

Interested candidates should submit their updated resume highlighting relevant experience and skills for the AR Associate role.

This role is ideal for candidates eager to build a career in accounts receivable operations, focusing on healthcare claims and customer service.

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