Starmark Software

Customer Support - Patient Calling (US Healthcare)

Responsibilities:

• Patient calling representatives address patients' concerns about their accounts

• Help with billing issues and negotiate to collect unpaid debt

• Their duties include creating payment plans and taking patients' payments

• When a patient's account has an overdue balance, the patient account representative calls the patient to discuss recovering the payment

• Good phone communication skills help working with patients and clearly explaining policies and details.

Desired Candidate Profile:

• Experience in AR calling is an added advantage

• Excellent verbal and written communication skills

• Good knowledge in MS Excel and word

• Flexible with Night shift timings

• Adaptability and willingness to go the extra mile when needed.

Executive/ Sr. Executive/ Analyst /Sr. Analyst - AR

Demonstrated Skills: 

• Average ability on calling, spoken and written English with moderate medical billing knowledge. 

• Should be able to work independently with minimal supervision, on moderate and complex tasks with guidance from supervisors 

• Should be a team player and collaborate in solving the issues and problems. 

Roles & Responsibilities: 

• Ability to talk to insurance companies & check online for outstanding payments and document the conversation/ findings on patient account and assigned WP as per the standardization protocol with required accuracy. 

• Willingness to work in the night shift 

• Meet Compliance requirements like HIPPA etc. 

• Meet QMS and ISMS requirements 

• Meet productivity and quality standards 

• Should have good typing speed of 25 wpm 

• Should ensure 100% attendance. 

Sr. Executive - AR:-

Demonstrated Skills:

• Above average calling, spoken and written English skills, high medical billing knowledge 

• Should work independently, and with minimal supervision, on complex tasks with guidance from supervisors 

• Should be a team player and collaborate in solving the issues 

Roles & Responsibilities: 

• Ability to analyze a claim and talk to insurance companies & check online for outstanding payments and take necessary action, so that the claim is closed 

• Mentor and guide team members 

• Willing to work in Night shifts 

• Typing skills should be at min 30 wpm 

• Should ensure 100% attendance. Should not have any unapproved absenteeism 

• Ensure required quality standards.

Executive - AR:-

 • Average ability on calling, spoken and written English with moderate medical billing knowledge. 

• Should be able to work independently with minimal supervision, on moderate and complex tasks with guidance from supervisors 

• Should be a team player and collaborate in solving the issues and problems. 

Roles & Responsibilities: 

• Ability to talk to insurance companies & check online for outstanding payments and document the conversation/ findings on patient account and assigned WP as per the standardization protocol with required accuracy. 

• Willingness to work in the night shift 

• Meet Compliance requirements like HIPPA etc. 

• Meet QMS and ISMS requirements 

• Meet productivity and quality standards.

Sr. Executive - AR:-

• Above average calling, spoken and written English skills, high medical billing knowledge 

• Should work independently, and with minimal supervision, on complex tasks with guidance from supervisors 

• Should be a team player and collaborate in solving the issues 

Roles & Responsibilities: 

• Ability to analyze a claim and talk to insurance companies & check online for outstanding payments and take necessary action, so that the claim is closed 

• Mentor and guide team members 

• Willing to work in Night shifts 

• Ensure required quality standards.

Analyst - AR:-

• Offers solutions, suggestions & improvements and also help on client specific reports to their immediate supervisor 

• Should be a team player, mentor the trainees and collaborate in solving the issues and problems 

Roles & Responsibilities: 

• Should have the ability to identify global issues, root cause of the problem and take corrective and systemic actions. 

• Ensure required quality standards. 

• Clear the rejections 

• Check whether the response is received in a timely manner 

• Check process dashboard on time; if any rejection found 

• Generate Insurance Collection summary report grouping by Insurance and sub-grouping. 

• Work on the denial bucket claims 

• Resolve the denied claims 

Sr. Analyst - AR:-

• Capable of handling minimum team of 5-10 

• Identify the global issues proactively and offer resolutions and recommendation to eradicate from reoccurring. 

• Should be able to mentor the team members 

• Ability to generate client specific reports and assist immediate supervisor on day to day operational needs. 

• Exceed individual productivity and quality standards as per org policy. 

• Assist team to achieve the minimum productivity and quality benchmark. 

• Should be a team player and collaborate in solving the issues and problems. 

Roles & Responsibilities: 

• Should have the ability to identify global issues, root cause of the problem and take corrective and systemic actions. 

• Ensure required quality standards. 

• Clear the rejections 

• Check whether the response is received in a timely manner 

• Check process dashboard on time; if any rejection found 

• Generate Insurance Collection summary report grouping by Insurance and sub-grouping. 

• Work on the denial bucket claims 

• Review EOB, post the denials and take appropriate action on the denials. 

• Resolve the denied claims.