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