Responsibilities

• Manage, organize and monitor progress of tasks assigned.
• Ensure team members work to resolve issues/verify deliverables.
• Provide status reporting of team activities and keep supervisors informed of task accomplishment, issues and status.
• Document tasks performed on a daily basis.
• Audit practices, finding and resolving neglected areas.
• Analyze clearinghouse, ERA and EOB rejections and providing viable solutions where possible.
• Coordinate with respective AR team leads for effective practice management.
• Correction of assigned errors in TD.
• Thorough verification of EDI files and coordination with NY office on paper claims printing in case of any issue.
• Perform job roles in compliance with IS Policies and Procedures and acceptable usage of asset and services guidelines.
• Regulatory, contractual and IS Policy violations are reported immediately to supervisors or appropriate authorities for rectification and disciplinary actions.

Requirements

• Resource should have an experience of atleast 3 years in the relevant field.
• Good understanding of full life cycle revenue cycle management.
• Ability to effectively initiate and manage multi-disciplined projects. Up-to-date knowledge of reimbursement regulations and compliance issues of third party payers (Insurance companies).
• Good communication and analytical skills.
• Capable of managing accounts receivable with multiple third party managed care contracts.
• Strong professional demeanor with the inherent quality to rapidly establish credibility and rapport with clinicians, managers, customers and external groups
• Ability to identify opportunities and solutions for process improvement along with the skills of planning and implementation of these solutions.