Revenue Cycle Representative_AR

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    "ShortDescriptionStr": "An individual contributor role responsible for managing a subset of Revenue Cycle Services for a client for the Margin\nline of business. This role also involves performing transactions as per the documented and agreed policies and\nprocedures as well as meeting and exceeding the productivity & quality standards.\n",
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    "ExternalPostedEndDate": "2026-06-30T12:10:00+00:00",
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    "ExternalDescriptionStr": "<p>Key Responsibilities:</p>\n<p><strong>Process</strong>:&nbsp;</p>\n<p>● Responsible for achieving the defined TAT on deliverables with the agreed Quality benchmark score. ● Responsible for analyzing an account and taking the correct action.&nbsp;</p>\n<p>● Ensuring that every action to be taken should be resolution oriented whilst working on the specific task/case assigned.&nbsp;</p>\n<p>● Task claims to appropriate teams where a specific department within IKS, or client's assistance is required to resolve them.</p>\n<p><strong>Billing:</strong></p>\n<p>● Responsible for ensuring accurate billing to the payer for a specific claim.&nbsp;</p>\n<p>● Addressing the clearing house and front end rejections in a timely manner within a TAT of 24 hour period</p>\n<p><strong>AR:&nbsp;</strong></p>\n<p>● Follow up with the payors on open claims beyond a reasonable time period to identify it's accurate action.&nbsp;</p>\n<p>● Analyze denials from insurances, verify its authenticity, understand causes and resolve them.&nbsp;</p>\n<p>● Ensure claims are followed up as per assigned ticklers within the stated time period.&nbsp;</p>\n<p>● Manage ageing on the assigned work file.</p>\n<p><strong>PP:&nbsp;</strong></p>\n<p>● Responsible for posting the electronic payments once received from the payer onto the client's system&nbsp;</p>\n<p>● Responsible for posting the manual payments once received from the payer onto the client's system</p>\n<p>● Balancing the Batches / Reconciliation&nbsp;</p>\n<p>● Ensuring that correct balance is flipped to the patient where applicable.&nbsp;</p>\n<p>● Ensuring that appropriate adjustments are executed based on payor policies, client guidelines, and adhoc approvals.</p>\n<p><strong>EV/BV:&nbsp;</strong></p>\n<p>● Responsible for reaching out to the payor to check on the insurance eligibility and the benefits of the patient&nbsp;</p>\n<p>● Addressing the claims to insurance or Self Pay (Patient Attention) based on the eligibility identified</p>\n<p>&nbsp;</p>\n<p><strong>Qualifications</strong>: &nbsp;Graduate from any discipline is a must</p>\n<p>&nbsp;</p>\n<p><strong>Role Prerequisites:</strong></p>\n<p>&nbsp;● Minimum 1 year and above experience in AR, PP, Billing and EV/BV is a must.</p>\n<p>&nbsp;</p>\n<p><strong>Functional Competencies:&nbsp;</strong></p>\n<p>● Knowledge of the US healthcare RCM industry would be preferred&nbsp;</p>\n<p>● Basic Knowledge of working on computers would be preferred&nbsp;</p>\n<p>● Basic Knowledge of MS Office would be preferred.&nbsp;</p>\n<p>● Typing Speed</p>\n<p>● Eye for Detail</p>\n<p>&nbsp;</p>\n<p><strong>Behavioral Competencies:&nbsp;</strong></p>\n<p>● Team Work ● Communication&nbsp;</p>\n<p>● Customer Service Orientation ● Accountability&nbsp;</p>\n<p>● Analytical Thinking</p>\n<p>&nbsp;</p>\n<p>* Please note: The competencies highlighted above under the functional and behavioral competencies are the MUST HAVE competencies in the role and need to be mandatorily measured during the assessments OR hiring process</p>",
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