Trainee - Account Executive
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What you'll do
- Perform pre-call analysis and check status by calling the payer or using IVR or web portal services
- Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference
- Record after-call actions and perform post call analysis for the claim follow-up
- Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact
- Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc prior to making the call
- Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments
- Ensuring the daily assigned accounts are resolved/ worked on
- Escalate difficult collection situations to Team Leaders situations and seek education and instruction.
What they're looking for
- Under Graduation Degree – Preferably, Arts and Science
- Excellent English Communication Skills
- Adherence to U.S. Shift Timings
- Good analytical and listening skills
- Working knowledge in MS office
Summarised by NextRaise from the employer’s description, which follows in full below.
Full description from employer
JOB TITLE: Trainee - Account Executive
JOB SUMMARY:
Working in U.S. Shifts, the executives in this department, collect billing outstanding, on behalf of Doctors, Hospitals and Healthcare providers.
Job Requisites:
· Under Graduation Degree – Preferably, Arts and Science
· Excellent English Communication Skills
· Adherence to U.S. Shift Timings
· Good analytical and listening skills
· Working knowledge in MS office
Roles and Responsibilities
- Perform pre-call analysis and check status by calling the payer or using IVR or web portal services
- Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference
- Record after-call actions and perform post call analysis for the claim follow-up
- Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact
- Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc prior to making the call
- Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments
· Ensuring the daily assigned accounts are resolved/ worked on
· Escalate difficult collection situations to Team Leaders situations and seek education and instruction.
This is a target and quality based role.
Company
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