Senior Associate

Responsibilities:

• Review patient ledgers with outstanding charges and take the next best action for follow-up to collect balances.
• Verify insurance eligibility and update patient accounts based on client-specific SOPs.
• Investigate claims status and next best action for open accounts via available insurance websites.
• Call insurance companies to investigate claims status, identify appeals action, and the next best action to resolve accounts.
• Identify claim denial trends or provider-related issues that delay or reduce reimbursement.
• Meet or exceed targeted productivity levels on a daily/monthly basis
• Perform work with exceptionally high quality. Meet or exceed target quality levels.
• Commitment to work as a member of a team to meet and exceed client-specific SLAs.

Skills:

• Bachelor’s degree in a related field (BBA, B.Com, BSc, B Tech, etc) from an accredited college or university.
• At least 2 years of experience working in a revenue cycle with at least one year of experience working on A/R follow-up processes (voice).
• Advanced understanding of US healthcare, including Medicaid, Medicare, private insurance, and basic medical & billing terminology.
• Excellent English language skills and verbal English skills with a low to neutral accent.
• Strong organizational, quantitative, and analytical skills.
• Strong problem-solving skills
• Excellent keyboarding skills

What Would Be Nice To Have

• Proficiency in Microsoft Office (Word, Outlook, Excel)