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Executive / Sr. Executive - Ar - Hospital Billing

1-3 years
Not Disclosed
10 Dec. 10, 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: Executive / Sr. Executive - AR - Hospital Billing

Location: Bengaluru, Hyderabad, Chennai


Job Description

We are looking for Executive / Sr. Executive - AR - Hospital Billing professionals to join our dynamic team. The role involves managing accounts receivable processes for US-based healthcare providers, with a focus on ensuring prompt and accurate claim resolution.


Key Responsibilities

  1. Insurance Follow-Up:

    • Contact insurance companies in the US on behalf of Physicians, Clinics, or Hospitals to follow up on outstanding accounts receivables.

    • Persuade payers for timely payment of outstanding claims.

  2. Revenue Cycle Management (RCM):

    • Apply sound knowledge of the US healthcare domain (provider side) and improve processes within the RCM framework.

    • Address claims-related issues with a clear understanding of specialty billing, particularly in transplant, organ procurement, or Gift of Life billing.

  3. Client Interaction and Updates:

    • Collaborate with the Team Leader to receive and act on client updates.

    • Provide timely production logs and adhere to productivity and quality targets.

  4. Compliance and Quality Control:

    • Ensure strict adherence to HIPAA guidelines and organizational policies.

    • Follow quality processes using checklists and comply with QMS and ISMS policies.

  5. Specialized Billing Tasks:

    • Manage claims <$5,000 at Day 60, working on designated Work Queues (WQs) in EPIC software.

    • Perform detailed analysis and escalate unresolved issues to Team Leaders or Managers when necessary.


Eligibility Requirements

  • Experience: 1–3 years of relevant experience in AR (Accounts Receivable) activities in the provider side of the US healthcare domain.

  • Skills:

    • Hands-on experience in analyzing claims and calling insurance companies for resolution.

    • Excellent oral and written communication skills.

    • Familiarity with EPIC software (desirable but not mandatory).

    • Knowledge of specialty billing (e.g., transplant, organ procurement) is a significant advantage.

  • Work Hours:

    • Open to working US timings (EST hours).

    • Willingness to work from the office.


Why Join Us?

  • Opportunity to work with a leading organization in healthcare revenue cycle management.

  • Competitive salary with growth potential.

  • Exposure to cutting-edge software like EPIC and advanced specialty billing practices.

  • A collaborative and supportive work environment promoting continuous learning.

If you meet the qualifications and are passionate about AR and RCM processes, apply now to make a difference in the healthcare sector!