Process Associate Sr Process Associate

Navi Mumbai - India

Monthly Salary: Not Disclosed

Posted on: 8 hours ago

Vacancies: 1 Vacancy

Job Summary

JOB DESCRIPTION

Designation/ Role: Process Associate/ Sr Process Associate

Department: Accounts Receivable

Work Timing: Night Shift

Qualifications: Minimum HSC/102 Equivalent (Any Graduate Preferred)

Skills:

A successful candidate must have proficient knowledge/capabilities in the following areas:

1. Claims management and/or customer service experience desired.

2. Bachelors degree preferred or any equivalent combination of education and

experience.

3. Ability to perform at a high level of productivity and quality.

4. Capacity to maintain a high level of accuracy.

5. Excellent written and oral communication skills required to represent Infinx Clients.

6. Computer skills including Microsoft Office Suite.

7. Skills to work independently and be resourceful with the ability to multitask.

Experience

13 years experience US calling process.

Job Description

The job involves an analysis of receivables due from healthcare insurance companies and

initiation of necessary follow-up actions to get reimbursed. This will include a combination of

voice and non-voice follow-up along with undertaking appropriate denial and appeal

management protocol.

Job Responsibilities

A successful candidate will perform the following activities:

1. Review patient accounts and perform appropriate follow up actions to resolve the

outstanding balance according to best practice standards.

2. Complete and send appropriate claim forms according to CMS and third-party payor

guidelines.

3. Follow up with medical insurance payors regarding the status of outstanding claims.

4. Contact patients and guarantors regarding outstanding self-pay balances due.

5. Compose correspondence to insurance payors third parties and patients regarding the

resolution of outstanding balances and claim appeals.

6. Document all actions taken in appropriate Infinx or Client host system.

7. Adhere to HIPAA patient confidentiality and compliance requirements at all times.

8. Research payor rules and regulations to maintain current payor knowledge.

9. Demonstrate service excellence to all patients clients and employees of Infinx.

10. Meet individual and team goals for productivity quality and results to Clients.

All candidates and employees must consistently comply with Infinxs Information

Security policy.

JOB DESCRIPTIONDesignation/ Role: Process Associate/ Sr Process AssociateDepartment: Accounts ReceivableWork Timing: Night ShiftQualifications: Minimum HSC/102 Equivalent (Any Graduate Preferred)Skills:A successful candidate must have proficient knowledge/capabilities in the following areas:1. Claim...