HC & Insurance Operations Senior Rep.

Ensuring accurate and timely completion of transactions to meet or exceed client SLAs.

Performing outbound calls to insurance companies (in the US) to collect outstanding Accounts Receivables

Analyzing medical insurance claims for quality assurance

Resolving moderately routine questions following pre-established guidelines

Review remittance and action the claim for solution towards payment.

Resolve unpaid and denied claims as per client SOP’s.

Attending meetings and in-service training to enhance Accounts Receivable knowledge, compliance skills, and maintenance of credentials.

Maintaining patient confidentiality.