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Process Executive - Ar

Omega Healthcare Management Services
Omega Healthcare Management Services
0-1 years
Not Disclosed
Chennai, India
6 Dec. 2, 2024
Job Description
Job Type: Full Time Education: B.Sc./M.Sc./B.Pharm/M.Pharm/Life science Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Job Title: AR Associate

Department: Revenue Cycle Management

Location: [Specify Location]

Reporting To: Team Lead / Operations Manager


Role Description Overview:

The AR Associate is responsible for effectively managing daily tasks involving denials processing, claims follow-up, and customer service, ensuring compliance with client requirements and quality standards to support efficient revenue cycle operations.


Key Responsibilities:

  1. Denials Processing and Claims Follow-Up:

    • Contact insurance carriers to address denials and follow up on claims.

    • Accurately document call details and updates in designated software and spreadsheets.

    • Ensure follow-up actions are completed to resolve outstanding claims.

  2. Communication and Issue Escalation:

    • Regularly review emails for project updates and client requirements.

    • Identify issues or discrepancies and escalate them to the immediate supervisor promptly.

  3. Productivity and Quality Management:

    • Meet or exceed daily and monthly collection targets.

    • Adhere to productivity standards and timelines as defined by the client.

    • Ensure deliverables meet or exceed established quality benchmarks.

  4. Documentation and Reporting:

    • Maintain accurate and up-to-date production logs.

    • Prepare and submit detailed status reports on claims, denials, and resolution progress.


Desired Profile:

  • Experience:

    • 1–3 years of experience in Revenue Cycle Management, Claims Processing, or related fields is preferred.

  • Skills and Competencies:

    • Strong understanding of claims and denials management processes.

    • Excellent communication skills, both verbal and written.

    • Proficiency in handling healthcare claims software and spreadsheets.

    • Detail-oriented, with the ability to work independently and meet deadlines.

  • Education:

    • Graduate in any discipline; healthcare-related qualifications are a plus.


Shift Details:

  • General Shift / Day Shift

Work Mode:

  • Work From Office (WFO)

This position is designed for professionals aiming to ensure seamless claims management and drive operational efficiency in the healthcare revenue cycle domain.