Trainee - Process Associate

Trainee - Process Associate

AGS Health | Hyderabad, TG, IN

Posted a month ago

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Description



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

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

JOB LOCATION – Hyderabad