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 its accurate action.
Analyze denials from insurance, verify their authenticity, understand causes and resolve them.
Ensure claims are followed up as per assigned ticklers within the stated time period.
Manage aging on the assigned work file.
EV/BV:
Responsible for reaching out to the payor to check on the insurance eligibility and the benefits of the patient.
Addressing the claims to insurance or Self-pay (Patient Attention) based on the eligibility identified.
About you
Qualifications
Graduate from any discipline is a must
Role prerequisites
Freshers directly out of college/institutions/to the industry OR Minimum 1 year and above experience in AR, PP, Billing and EV/BV is a must.
Functional competencies
Knowledge of the US healthcare RCM industry would be preferred
Basic knowledge of working on computers would be preferred
Basic knowledge of MS Office would be preferred.
Typing speed
Eye for detail
Behavioural competencies
Team Work
Communication
Customer Service Orientation
Accountability
Analytical Thinking
Benefits
As part of IKS Health, you may receive benefits such as:
Health Care & Insurance
Maternity & Paternity Leave
Sick Leave & Bereavement Leave
Vacation & Paid Time Off
Company Car
Employee Assistance Program
Training & development
IKS Health is dedicated to employee development through extensive mentorship programs, continuous training, and access to advanced resources, aiming to enhance skills and capabilities. They promote a culture of learning by celebrating successes, embracing failures as growth opportunities, and encouraging risk-taking and innovation. By fostering a dynamic, inclusive environment, they empower employees to drive meaningful change and continuously adapt to the evolving healthcare landscape.
Career progression
They emphasize continuous learning and leadership development, providing opportunities for career advancement through a culture of innovation and collaboration. Employees are encouraged to challenge assumptions, seek new perspectives, and work together across teams, which supports their growth and positions them for leadership roles. Employee reviews indicate that freshers can kick-start their careers with substantial growth opportunities; however, some experienced employees have reported slower career advancement or fewer growth opportunities.
To know more about the possible growth at IKS Health, watch this video:
Sources
The following sources were used in researching this page: