Executive (or) Sr.Executive-AR @ Omega Healthcare

Job Description

Roles and Responsibilities:

• Call Payer (Insurance) to resolve claims (denial/non-denial) after review from PMS, internal system & process toward resolution (Payment, Adjustment & self-pay).
• Identify potential process improvements, trends, issues and escalate to Supervisor through calling.
• Follow the Workflow documentation like SOPs Update tracker, Issue Log and Trend logs.
• Resolve complex patient account issues requiring investigation of system timeline comments, payer reimbursements and account transactions
• Identify the accounts which does not require calling and can be fixed by Analyst to resolve
• Logical thinking to identify the trends, resolve accounts for an error free account
• Identify payer issues and leads special projects to aggregate claim data for payer reprocessing and escalate complex payer issues to the lead billing specialist as necessary

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Rs 0 - 50K PM Rs 50K - 1 LPA Rs 1.0 - 1.5 LPA Rs 1.5 - 2.0 LPA Rs 2.0 - 2.5 LPA Rs 2.5 - 3.0 LPA Rs 3.0 - 3.5 LPA Rs 3.5 - 4.0 LPA Rs 4.0 - 4.5 LPA Rs 4.5 - 5.0 LPA Rs 5 - 6 LPA Rs 6 - 7 LPA Rs 7 - 8 LPA Rs 8 - 9 LPA Rs 9 - 10 LPA Rs 10 - 12 LPA Rs 12 - 14 LPA Rs 14 - 16 LPA Rs 16 - 18 LPA Rs 18 - 20 LPA Rs 20 - 22 LPA Rs 22 - 24 LPA Rs 24 - 26 LPA Rs 26 - 28 LPA Rs 28 - 30 LPA Rs 30 - 32 LPA Rs 32 - 34 LPA Rs 34 - 36 LPA Rs 36 - 38 LPA Rs 38 - 40 LPA Rs 40 - 42 LPA Rs 42 - 44 LPA Rs 44 - 46 LPA Rs 46 - 48 LPA Rs 48 - 50 LPA Rs 50 - 75 LPA Rs 75 Lakh - 1C PA Rs 1 Crore+ PA

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Keyskills:   denials denial management claims auditing ar calling provider us healthcare physician billing claims processing rcm