Manager Medical Billing

• Responsible for calling Insurance companies (in the US) on behalf of doctors/physicians and follow up on outstanding Accounts Receivable
• Depth knowledge about denial management, AR follow-up, Claim rejections.
• To prioritize the pending claims for calling from the aging basket
• Should be able to convince the claims company (payers) for payment of their outstanding claims
• To check the appropriateness of the insurance information given by the patient if it is inadequate or unclear. To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance
• Escalate difficult collection situations to management in a timely manner.
• Should have basic knowledge of the entire Revenue Cycle Management (RCM)
• Sound knowledge of U.S. Healthcare Domain (Provider side) methods for improvement on the same

Skills required:

• Excellent communication skills
• Excellent interpersonal skills

Educational Qualification & Work Experience:

• Graduation in any stream
• Additional certification in typing, a medical prescription will be preferred
• Min. 1 years work experience

• 10+ years of Collections experience in financial services (consumer credit or marketplace lending platforms/Banking/NBFC) and 5+ years of inhouse collection team management/leadership experience
• Demonstrated success leading a team in a fast-paced setting, managing SLAs across multiple channels, and achieving goals
• Excellent verbal and written communication, as well as presentation and facilitation skills with the ability to express complex concepts in plain language to reach broader audiences
• Excellent work ethic with result-driven attitude
• Demonstrated ability and comfort working in a start-up environment with an agile team, fast-evolving roles and responsibilities, variable workload, and tight deadlines with a high degree of autonomy

Personality Traits :

• Dynamic and Pro-active, Fast-Paced
• Desire to make an Impact on Positive Customer Experience
• Ability to work independently without supervision
• Strong work ethic