Executive

Description

Job Purpose and Position Overview:

This person would be responsible to process the charges and ensure to submit the claims within TAT.

Primary Responsibilities:

Ability to follow instructions
Processing the charges as per SLA
Team should be met the standard quality of above 99 % and quantity of 98%
Check the clearing house acceptance report on daily
Charges Reconciliation
Reporting team leaders about files flow

Daily Routine:

Planning the day & Prioritizing the tasks
Active participation in Pre-Shift Huddles
Handling tickets
Interacting with Coding/AR team
Patient Demographic Entry
Verification for Hospital/SNF charges
Processing the charges & claim submission
Claim correction & Resubmission
Updating KPI
Need to send EOD status to Team leader

Weekly Routine:

Preparing charge clarifications
Hold claims review
Weekly meeting with Team leader/Manager
Referring SOPs

Monthly Routine:

Charges Reconciliation
OC adjustment

Annual Routine:

Active participation in training based on Process oriented annual updates