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Process Executive - Ar

Omega Healthcare Management Services
Omega Healthcare Management Services
0-1 years
Not Disclosed
Chennai, India
5 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 daily operations related to denials processing, claims follow-up, and customer service. The role ensures timely resolution of pending claims, accurate documentation, and compliance with client requirements.


Key Responsibilities:

  1. Claims Management:

    • Follow up on outstanding claims with insurance carriers via phone or electronic communication.
    • Document notes in the designated software and maintain accurate spreadsheets.
    • Update production logs with daily progress.
  2. Denials Processing:

    • Analyze and process denials received from insurance carriers.
    • Identify root causes of denials and take corrective action to ensure timely resolution.
  3. Escalation and Issue Resolution:

    • Escalate unresolved or complex issues to the immediate supervisor for guidance.
    • Work closely with team members to address bottlenecks in processes.
  4. Client Specifications:

    • Understand and adhere to client requirements and project specifications.
    • Ensure deliverables meet quality standards and timelines.
  5. Reporting:

    • Prepare and maintain status reports detailing collections, follow-ups, and claim resolutions.
    • Ensure accurate and timely reporting of productivity metrics.
  6. Communication and Updates:

    • Review emails daily for updates from clients or internal teams.
    • Communicate updates effectively to team members as required.

Job Specification:

  • Experience:

    • Minimum of 6 months to 2 years of experience in AR follow-up or denials management (preferred).
  • Education:

    • Graduate in any discipline.
  • Skills:

    • Strong verbal and written communication skills.
    • Proficiency in Microsoft Office tools, especially Excel.
    • Knowledge of insurance claims processes and revenue cycle management.
    • Ability to meet productivity and quality benchmarks.

Shift Details:

  • Night Shift/US Shift

Work Mode:

  • Work From Office (WFO)

This role is ideal for professionals looking to grow their expertise in revenue cycle management while contributing to streamlined operations and client satisfaction.