Trainee Executive, AR Calling

About the Role

This is a target and quality-based role for a Trainee Executive - AR Calling.

Key Responsibilities

• Perform pre-call analysis and check status by calling the payer or using IVR or web portal services.
• Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail.
• Record after-call actions and perform post-call analysis for claim follow-up.
• Assess and resolve enquiries, requests, and complaints through calling to ensure that customer enquiries are resolved at the first point of contact.
• Provide accurate product/service information to customers.
• Research available documentation including authorization, nursing notes, medical documentation on client's systems, and interpret explanation of benefits (EOB) received prior to making the call.
• Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons.
• Use appropriate codes for documentation of the reasons for denials / underpayments.
• Ensure daily assigned accounts are resolved/worked on.
• Escalate difficult collection situations to Team Leaders and seek education and instruction.

Requirements & Tech Stack

• Ability to work effectively on online platforms and specialized software.
• Ability to analyze, prioritize, and work with focus.

Qualifications

• Pleasant, professional, and courteous personality, dealing with people at all levels, internal and external.
• A "Go-getter" attitude: Ability to present ideas in business-friendly and user-friendly language.
• Highly self-motivated, self-directed, and attentive to detail.
• Team-oriented, collaborative.
• Ability to effectively prioritize and execute tasks in a high-pressure environment.