Quality Control Executive jobs in Bangalore - Acusis Software India Pvt

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Job Description

Ensure to achieve SLA and TAT of 98%

Should have good experience in AR & denial management.

Should possess hands on experience in handling audits for AR (Non voice).Should have good experience in professional billing.

Responsible for monitoring all aspects of collection of AR outstanding

Interact with customers directly resolving outstanding debt or billing issues

Handling series of account issues at all stages of the collections process

Should contact customers to evaluate what action needs to be taken on their account

Should meet with managers and other departments to give updates on current financial status; and collect, analyze, and provide status updates.

Review A/R listing assigned with aging buckets.

Build internal control documents & templates for appeal and refund.

Follow-up to ensure all the actions are completed in order to get the payments from the payers.

Suggest inputs to improve A/R processes with the help of Technology / Quality

Improvements and work closely with the Team Leaders/Managers to arrive at resolutions

Manage the collection activities by collaborating with the various team members such as callers, coders, charge posters, payment posters etc.

Manages receivables in such a way that metrics are met or exceed the established goals using an analytical approach that is systemized and sustainable

Identify causes for non-payment and communicate problems for corrective action to be taken

Extracting, synthesizing, and analyzing data

Handling Appeals for denied claims.

Customized daily, monthly and yearly reports based on client request.

Mailing Paper claims, preparing patient statements, and dispatching secondary claims as per client request.

Resolve the global issues and highlight any trends identified while working the AR.

Review EOB, post the denials and take appropriate action on the denials.

Update the practice specific denial count & dollar in the spreadsheet



Functional Area

ITES / BPO / KPO / LPO / Customer Service / Operations

Number of Vacancy



Other Bachelor Degree

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