Process Associate – Accounts Receivable (Job code: JB00050763)

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Posted on - 24/07/2019

 
  • Key Skills:
    Candidate should have experience 0 to 1 years of exp in relevant industry.
    Industry:
    IT-Software
  • Functional Area:
    Accounting / Tax / Audit
    Functional Specialization:
    NA
  • Qualification:
    B.Com
    Qualification Specialization:
    Commerce Pass
  • Location:
    Mumbai
  • Experience:
    0 - 1 yrs.
  • Yearly Salary:
    Negotiable
 

JOB DESCRIPTION :

Job Title:
Job Profile:
The role of a Process Associate – Accounts Receivable is to call insurances to check claim status, dispute incorrect adjudications and obtain appropriate resolution as per the set guidelines and timelines. They are also responsible for grooming of the team members tagged to them.
Knowledge quotient
  • Understand various documents from insurances
  • Understand terminology related to billing, account receivables and denials
Understand RCM processes and workflows
Communication with stakeholders
  • Analyze claims to understand if it requires calling
  • Prepare the set of questions needed to gather appropriate details of claim status
  • Identify efficient ways to reach insurances faster and get the accurate information
  • Call appropriate insurance to gather status of the submitted claims within the set timelines
  • Ensure first time resolution of disputed claims within the set timelines
Communicate with practices only through internal portal when necessary
Inventory management
  • Prioritize inventory to avoid delays in resolutions
Follow-up with the appropriate insurances to avoid timely filing limit 
Quality management
Ensure quality benchmarks are maintained while processing claims 
Knowledge transfer
  • Educate, train and share feedback with tagged team members
Ensure that team members maintain consistent performance in the assessments conducted
Working Relationships:

  • Insurances
  • Practices
  • Other teams within RCM
  • Team Leads
Mentors and peers
Knowledge 

  • Industry knowledge of Revenue Cycle Management preferred
  • Domain specific knowledge in RCM preferred

Skills

  • Communication (both verbal and written)
  • Logical and analytical skills
  • Eye for detail
  • Probing
  • Interpersonal Skills
Assertiveness

Attributes

  • Ownership and responsibility
  • Passion
  • Team work
Integrity 


company profile :eClinicalWorks India Pvt Ltd

eClinicalWorks is a privately-held, profitable company that focuses on establishing long-term relationships with customers, serving them in six different time zones-from Hawaiian to Eastern. The company has had no debt since inception and has been profitable every quarter since 2000. Remaining a private company with no outside investors means that eClinicalWorks is focused solely on customers and not distracted by Wall Street or venture capitalists.

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