Account Executive - Band 8

JOB TITLE: Trainee - Account Executive

Job Summary

Working in U.S. Shifts, the executives in this department, collect billing outstanding, on behalf of Doctors, Hospitals and Healthcare providers.

Job Requisites

• Under Graduation Degree – Preferably, Arts and Science
• Excellent English Communication Skills
• Adherence to U.S. Shift Timings
• Good analytical and listening skills
• Working knowledge in MS office
  
  

Roles And Responsibilities

• Perform pre-call analysis and check status by calling the payer or using IVR or web portal services
• Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference
• Record after-call actions and perform post call analysis for the claim follow-up
• Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact
• Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc prior to making the call
• Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments
• Ensuring the daily assigned accounts are resolved/ worked on
• Escalate difficult collection situations to Team Leaders situations and seek education and instruction.
  
  

This is a target and quality based role.