Senior Executive - Operations

• Recognize and respect cultural diversity.
• Adapt communication to an individual's ability to understand. • Use medical terminology appropriately.
• Respond to communications received within a reasonable time frame.
• Project a professional manner and image.
• Adhere to ethical principles.
• Demonstrate initiative and responsibility.
• Work as a team member.
• Efficient Time Management.
• Prioritize and perform multiple tasks.
• Adapt to change, including new hours of operation and methodology.
• Attend functional team meetings and mandatory in-service education.
• Maintain proper observation and adherence to company policies and procedures.

• Ensure Daily Productivity targets are met at the required quality level on the assigned inventory,
• Perform timely follow up on claims to avoid revenue loss, Prioritize the pending claims for calling from the aging bucket,
• Review claims that have not been paid by insurance companies,
• Check insurance information provided by patient if it is insufficient or unclear,
• Follow the guidelines and applicable rules while calling insurance companies for confidentiality and HIPAA compliance,
• Escalate difficult collection situations to management in a timely manner, Handling patients billing queries and updating their account information,
• Post cash and write off the contractual adjustments accordingly while working on the accounts,
• Meeting daily/weekly and monthly targets set for an individual

• REQUIRED EDUCATION/EXPERIENCE: Graduate in any stream; customer service; must be computer literate; have multi-tasking skills, excellent organizational skills, verbal and written communication skills; team player.

• 2-5 Years for A2 Band

• Reports directly to the Assistant Manager

• Good organizational skills and the ability to multi-task
• Ability to operate basic office equipment, answer multi-line telephones, and have a strong computer background.
• Establish and maintain effective working relationships with patients, insurance companies, and staff.
• Good written and oral communications.
• Knowledge and skills in working with computerized billing systems including practice management software and EMR.
• Must adhere to all HIPAA guidelines and regulations.
• Knowledge of medical insurance and authorization processes.
• Some medical terminology and experience working in a healthcare or insurance environment.

• Maintain patient and company confidentiality.
• Practice within the scope of education, training, and personal capabilities.
• Document company documents (hard copy and electronic) accurately.
• Use appropriate guidelines for releasing information.
• Maintain awareness of US federal and US state health care legislation and regulations, PHI, HIPAA

• 40 hours per week as Full-time employee
• Shift time: 7:30 PM IST - 4:30 AM IST
• Weekends Off

• High Speed internet connection at home, must be broadband with minimum of 100 MBPS Speed or above
• Must understand and adhere with telecommuter policy
• Must have power backup at to mitigate power outage

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