Key Responsibilities:

Process : 

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

● Responsible for analyzing an account and taking the correct action. 

● Ensuring 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.

Billing:

● Responsible for ensuring accurate billing to the payer for a specific claim. 

● Addressing the clearing house and front end rejections in a timely manner within a TAT of hour period

AR: 

● 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.  ...