Process Analyst Jaipur

Summary of Role

To resolve assigned patient accounts by analyzing and following up, when required.

Key Responsibilities and Accountabilities

Review assigned work list which has the list of accounts to be resolved

• Focus on FTR (First Touch Resolution)

• Analyze the work list and create a plan of action to resolve the accounts in the work list

• Based on the plan of action, address accounts in the work list and resolve the accounts through analysis using the client software / resources or by following up through web status, IVR or fax

• If an account cannot be resolved through the above methods, place a call to the Insurance Company or to other parties to obtain the status

• Pre call preparation will help in resolving accounts first time

• Be assertive on the call to collect the money that is rightfully ours

• Complete the relevant action on the account, if required. Examples of actions include Appealing, Rebilling, requesting for an EOB / appeal / rebill, printing and mailing out a claim form, updating requests in a specified spreadsheet, etc.

• Update the client / internal software and relevant spreadsheets with notes on steps taken to resolve the account and any other information that gives the client / AGS Health team members insight into the account, if referred to in the future

• Update productivity / other reports as required

• Identify and escalate positive / negative trends in the AR to Team Leaders

• Follow any project / process / client specific guidelines / instructions

• Comply with all applicable regulations and business / ethical standards

Key Performance Measures

• First touch resolution (FTR)

• Productivity

• Quality

• Client Turn Around Time (TAT) requirements

ACADEMIC AND PROFESSIONAL BACKGROUND

• University graduate from Arts & Science stream with a very high aptitude score

• Minimum 1 year relevant experience in handling A/R Analyst role

COMPETENCIES, SKILLS AND OTHER REQUISITES

• Good written and spoken English

• Ability to identify underlying root cause or a problem

• Logical reasoning and analytical thinking

• Attention to detail

COMPLIANCE

• Should adhere to applicable Do's & Don'ts of implemented Information Security Management System (IEC/ISO 27001:2013) and HIPAA regulations

• Adherence to the rules and regulations as outlined by the management