Senior Accounts Receivable Executive

1. Work Mode: Office-based

2. Work Timings: US dayshift (evening/night shift) 5:30 PM to 2:30 PM IST. This can be changed according to the project/client requirement. 

3. Educational Qualifications/Skillsets Required:

-Preferred Bachelors’ degree.
-At least prior 3+ years of experience in Accounts Receivable in Revenue Cycle Management.
-Strong understanding of insurance policies, claim processing, and reimbursement procedures.
-Basic knowledge of coding systems (CPT, ICD-10) and payer-specific requirements.
-Proficiency in healthcare management software, billing systems, and Microsoft Office applications (especially Excel).
-Acquaintance with payer portals, electronic remittance advice (ERA), and insurance claims processing.
-Strong analytical and problem-solving skills with the ability to handle complex billing issues.
-Excellent communication and interpersonal skills to interact with payers and team members.
-Detail oriented with strong organizational and time-management skills.
-Knowledge of HIPAA regulations and strict adherence to patient confidentiality.

4. Roles and Responsibilities:
-Review and manage aging Accounts Receivable reports to identify unpaid claims and follow up on outstanding payments from insurance companies, Government payers, and patients.
-Work closely with insurance companies and other third-party payers to resolve claim discrepancies, denials, and payment issues.
-Monitor and follow up on unpaid claims in a timely manner ensuring adherence to payer timelines and resolving issues efficiently.
-Submit appeals and necessary documentation to insurance companies for denied or underpaid claims.
-Track and manage all patient balances, ensuring timely collection of payments.
-Communicate with patients to resolve outstanding balances and set up payment plans when necessary.
-Document all communications with patients and payers accurately in the system.
-Collaborate with the Billing and Coding Departments to ensure accurate and complete information are included on claims submissions.
-Perform routine audits of patient accounts and payment records to ensure accuracy and completeness.
-Maintain accurate records and reports of all accounts receivable activities, including follow-ups, appeals, and collections.
-Prepare and submit reports to management on the status of aging accounts and collection performance.
-Assist in identifying trends in denials or unpaid claims and recommend process improvements to enhance collection efficiency.
-Ensure compliance with healthcare industry regulations, payer-specific guidelines, and company policies.

5. Additional Perks:

Non-Reimbursable:
- Medical insurance of 4 lakhs per annum. Coverage is for self, spouse, and 2 children under 25 years of age.
- Group Personal Accident Policy coverage for the employee with payment of 5 years’ CTC in case of death of the employee in an accident.
- Office-based employees shall be eligible for complimentary canteen facilities.

Reimbursable Cab facility:
- All office-based employees working night shifts will be eligible for company-provided transportation.
- Rs. 2000 shall be reimbursed to male employees who opt for their own transportation when working from office.
- Female employees with their own car or female employees whose spouse is also working with us and have their own vehicle only can opt for own transportation and will be eligible for Rs.2000 as transport reimbursement.

7. How to Apply: Apply through our website https://www.scribeemr.in/

NOTES: Please visit the following website to know more about us https://www.scribeemr.in/
If you still have any questions, please write to [email removed]