Senior Executive - AR Speciality

PROFESSIONAL

• Recognize and respect cultural diversity.
• Adapt communication to an individual’s ability to understand. • Use medical terminology appropriately.
• Respond to communications received within a reasonable time frame.
• Project a professional manner and image.
• Adhere to ethical principles.
• Demonstrate initiative and responsibility.
• Work as a team member.
• Efficient Time Management.
• Prioritize and perform multiple tasks.
• Adapt to change, including new hours of operation and methodology.
• Attend functional team meetings and mandatory in-service education.
• Maintain proper observation and adherence to company policies and procedures.

JOB RESPONSIBILITIES

• Responsible for effective and efficient verification of all patients’ benefits before their appointment.
• Responsible for answering incoming calls from other providers, recipients, and carrier groups in relation to insurance coverage.
• Research eligibility information online with various insurance carriers.
• Responsible for acting as a liaison between patients, healthcare providers, and insurance carriers to ensure all proper measures are taken and information is collected.
• Ensures all patient questions are answered and issues are resolved timely by utilizing the appropriate resources.
• Responsible for obtaining all referrals and authorizations for procedures and services, as required.
• Other duties as assigned by the Lead Asst. Managers/Managers.
• REQUIRED EDUCATION/EXPERIENCE: Graduate in any stream; customer service; must be computer literate; have multi-tasking skills, excellent organizational skills, verbal and written communication skills; team player.

YEARS OF EXPERIENCE

• 2-5 Years for A2 Band

POSITION RELATIONSHIPS

• Reports directly to the Assistant Manager

KNOWLEDGE, SKILLS, AND EXPERIENCE

• Good organizational skills and the ability to multi-task
• Ability to operate basic office equipment, answer multi-line telephones, and have a strong computer background.
• Establish and maintain effective working relationships with patients, insurance companies, and staff.
• Good written and oral communications.
• Knowledge and skills in working with computerized billing systems including practice management software and EMR.
• Must adhere to all HIPAA guidelines and regulations.
• Knowledge of medical insurance and authorization processes.
• Some medical terminology and experience working in a healthcare or insurance environment.

LEGAL and COMPLIANCE

• Maintain patient and company confidentiality.
• Practice within the scope of education, training, and personal capabilities.
• Document company documents (hard copy and electronic) accurately.
• Use appropriate guidelines for releasing information.
• Maintain awareness of US federal and US state health care legislation and regulations, PHI, HIPAA

WORKING HOURS

• 40 hours per week as Full-time employee
• Shift time: 08:00AM TO 05:00PM IST
• Weekends Off

TELECOMMUTER/INTERNET REQUIREMENT

• High Speed internet connection at home, must be broadband with minimum of 100 MBPS Speed or above
• Must understand and adhere with telecommuter policy
• Must have power backup at to mitigate power outage