Mar_Ops_Jr_RCR_AR

Key Responsibilities:

Process:

● Responsible for achieving the defined TAT on deliverables with the agreed Quality benchmark score.

● Responsible for analyzing an account and taking the correct action.

● Ensuring that every action to be taken should be resolution oriented whilst working on the specific task/case assigned.

● Task claims to appropriate teams where a specific department within IKS, or client's assistance is required to resolve them.

 

AR:

● Follow up with the payors on open claims beyond a reasonable time period to identify it's accurate action.

● Analyze denials from insurances, verify its authenticity, understand causes and resolve them.

● Ensure claims are followed up as per assigned ticklers within the stated time period.

● Manage ageing on the assigned workfile.

EV/BV:

● Responsible for reaching out to the payor to check on the insurance eligibility and the benefits of the patient

● Addressing the claims to insurance or Self Pay (Patient Attention) based on the eligibility identified

Qualifications:

● Graduate from any discipline is a must

Role Prerequisites:

● Freshers directly out of college/institutions/to the industry OR Minimum 1 year and above experience in AR, PP, Billing and EV/BV is a must.

Functional Competencies:

● Knowledge of the US healthcare RCM industry would be preferred

● Basic Knowledge of working on computers would be preferred

● Basic Knowledge of MS Office would be preferred. ● Typing Speed ● Eye for Detail

Behavioral Competencies:

● Team Work ● Communication ● Customer Service Orientation ● Accountability ● Analytical Thinking

* Please note: The competencies highlighted above under the functional and behavioral competencies are the MUST HAVE competencies in the role and need to be mandatorily measured during the assessments OR hiring proces