Revenue Cycle Officer_AR - (190000UC)

This role will be responsible for managing a subset of Revenue Cycle Services for a client. This role is an individual contributor role for the Margin line of business. The KRA's shall be: Work Standard - Perform transactions as per the documented and agreed policies and procedures. Productivity - Responsible for meeting and exceeding productivity standards. Team Quality - Responsible for meeting and exceeding the quality standards. Individual contributors are expected to ensure the seamless delivery of assigned Revenue Cycle Management services.

Roles & Responsibilities

• Login into all the required applications utilized in the Process.
• Look into the inventory allocated to him/her.
• Open account into the billing system.
• Analyze the account looking at required various resources i.e. previous DOS, Notes, EOBs, website
• Taking action based on analysis mentioned above or calling insurance on behalf of provider/practice with all the required details i.e. Tax ID, NPI, Name etc…
• Probing outcome of analysis to an insurance representative to get the claim processed or to get the current status & take action accordingly based on process Protocol.
• Helping Trainee Associates with their queries & share knowledge with them

Qualification

Graduate in any stream 

Hands-on Experience in Denial Management 

Knowledge in US Healthcare 6 months to 5 years of experience 

Behavioral Competencies

Ownership & Accountability

Customer Focus Result Oriented

Open to Learning

Teamwork

Analytical Ability

Functional Competencies

Revenue Cycle Domain Knowledge

Application Knowledge

Compliance Adherence Quality