Revenue Cycle Representative Job in Hyderabad at IKS Health (Inventurus Knowledge Solutions)

IKS Health is hiring for the role of Revenue Cycle Representative!

Responsibilities of the Candidate:

• Responsible for achieving the defined TAT on deliverables with the agreed Quality benchmark score

• Responsible for analyzing an account and taking the correct action

• Ensure that every action to be taken should be resolution oriented whilst working on the specific task/case assigned
• Task claims to appropriate teams where a specific department within IKS, or client's assistance is required to resolve them
• Responsible for ensuring accurate billing to the payer for a specific claim
• Address the clearing house and front end rejections in a timely manner within a TAT of 24 hour period
• Follow up with the payors on open claims beyond a reasonable time period to identify it's accurate action
• Analyze denials from insurances, verify its authenticity, understand causes and resolve them
• Ensure claims are followed up as per assigned ticklers within the stated time period
• Manage ageing on the assigned work file
• Responsible for posting the electronic payments once received from the payer onto the client's system
• Responsible for posting the manual payments once received from the payer onto the client's system
• Balance the Batches / Reconciliation
• Ensure that correct balance is flipped to the patient where applicable
• Ensure that appropriate adjustments are executed based on payor policies, client guidelines, and adhoc approvals
• Responsible for reaching out to the payor to check on the insurance eligibility and the benefits of the patient
• Address the claims to insurance or Self Pay (Patient Attention) based on the eligibility identified

Requirements:

• Minimum 1 year and above experience in AR, PP, Billing and EV/BV is a must
• Knowledge of the US healthcare RCM industry would be preferred
• Basic Knowledge of working on computers would be preferred
• Basic Knowledge of MS Office would be preferred
• Good typing speed
• Good eye for details