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.

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 workfile.

EV/BV:

● Responsible for reaching out to the payor to check on the insurance eligibility and the benefits of ...