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 24 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. ● Ensure claims are followed up as per assigned ticklers within the stated time period. ● Manage ageing on the assigned work file. PP: ● Responsible for posting the electronic payments once received from the payer onto the client's system ● Responsible for posting the manual payments once received from the payer onto the client's system ● Balancing the Batches / Reconciliation ● Ensuring that correct balance is flipped to the patient where applicable. ● Ensuring that appropriate adjustments are executed based on payor policies, client guidelines, and adhoc approvals. EV/BV: ● Responsible for reaching out to the payor to check on the insurance eligibility and the benefits of the patient ● Addressing the claims to insurance or Self Pay (Patient Attention) based on the eligibility identified Qualifications: Graduate from any discipline is a must Role Prerequisites: ● Minimum 1 year and above experience in AR, PP, Billing and EV/BV is a must. Functional Competencies: ● Knowledge of the US healthcare RCM industry would be preferred ● Basic Knowledge of working on computers would be preferred ● Basic Knowledge of MS Office would be preferred. ● Typing Speed ● Eye for Detail Behavioral Competencies: ● Team Work ● Communication ● Customer Service Orientation ● Accountability ● Analytical Thinking * Please note: The competencies highlighted above under the functional and behavioral competencies are the MUST HAVE competencies in the role and need to be mandatorily measured during the assessments OR hiring process