|
|
| Company: |
Teamzinterface services |
|
| Job Title: |
Healthcare |
| Job category: |
Pharmaceutical |
| Job Location: |
Hyderabad - India |
| Job Description: |
Designation Sr. Process Associate - AR
Job Description Follow up on claims/accounts as specified by Team Leader
Appeal on rejected claims over the phone with the insurance or mailing a paper appeal
May allocate work order to the executives
Achieve productivity target and quality requirements
Records daily work in appropriate logs or journals (where ARMS is not in use).
Maintains a thorough knowledge of insurer/provider specialty and client policies while doing follow up on claims.
Should know and understand patient enrollment/insurance type/ coverage type
Should understand the possible scenarios after claims processed by insurance and take appropriate actions based on the scenario.
Should understand the field specifics of Medical Billing Software application and the A/R follow up software.
Experience range 1-2 years
Requirements
(i) Essential
(ii) Desirable Graduates with excellent spoken and written communication skills
Basic Key board Skills with a reasonable speed (20-30 wpm) and internet savvy.
Knowledge of MS Word, Excel
Experience in working on Windows 2000, XP environments
Work experience in a U.S Healthcare process (mandatory)
Additional Requirements Must have good analytical abilities, independent
Education Graduates
No. of positions 100
Salary Range
Designation TL - AR
Job Description
Lead the team efficiently so that each team member achieves the productivity & quality targets set by the client/management.
Ensure that the team reaches the Collection targets specified by the client
Analyze and follow up on a minimum number of issue/rejected claims daily (call insurance or patient wherever required) and achieve monthly target as set by management
Follow the processes (Sops) and guidelines (client policies)
and achieve a minimum of 90% quality.
Process client request, complaints and concerns on a priority basis
Measure and update productivity of the team members in MIS software
Ensure follow up on quality issues from the quality department
Be the Knowledge Center and help team with AR issues.
Team Schedules Shift, training, reports.
Track downtime for MIS.
Coordinate periodic (fortnightly, weekly) review of production
Feedback and coaching Executives on productivity and process
Ensures Team members meet their targets
Prepare daily, weekly, monthly, quarterly reports for management
Experience range 1-2 years
Requirements
(iii) Essential
(iv) Desirable Graduates with excellent spoken and written communication skills
Basic Key board Skills with a reasonable speed (20-30 wpm) and internet savvy.
Knowledge of MS Word, Excel
Experience in working on Windows 2000, XP environments
Work experience in a U.S Healthcare process (mandatory)
Additional Requirements Must have good analytical abilities, independent
Education Graduates
No. of positions 20
Salary Range
Designation Deputy manager - AR
Job Description
Teams Performance
Analyze the outstanding AR in a global perspective, identify global issues & initiate immediate actions on the same.
Guiding the team on the focus areas on a day to day basis.
Process client requests, complaints and concerns on a priority basis
Report issues pending with client & follow up till they are resolved.
Ensure follow up on quality issues from the quality department
Be a knowledge center and help team with the billing issues
Motivate team to achieve desired Quality and Production targets
Conduct performance appraisals for Team Leaders (TL) and Executives.
Co-ordinate with billing team and other support teams like Quality, Networking, HR to ensure smooth flow of processes.
Initiate meetings to identify training needs and arrange for training, re-training and cross training, as required
Implement corrective action as required with TL.
Support and monitor day-to-day work processes and meet production and Service Level Guarantee (SLG)
Conduct periodic and surprise audits and checks to ensure compliance with documented policies and procedures
Coach TL
Be a back-up for TL roles.
Act as Shift/Facility In-charge to monitor smooth functioning of shift/Facility
Planning and process development
Identify avenues to increase transition of work from Client office, communicate this to Vice-President, BPO
Innovate to optimize production and constantly improve Production, Quality and Turnaround Time
Participate in and contribute to client conference calls, management meetings and department meetings
Facilitate to meet contractual obligations and client expectations
Assess and forecast staffing requirements based on client communication and incoming volume
Experience range 4-5 years
Requirements
(v) Essential
(vi) Desirable Graduates with excellent spoken and written communication skills
Basic Key board Skills with a reasonable speed (20-30 wpm) and internet savvy.
Knowledge of MS Word, Excel
Experience in working on Windows 2000, XP environments
Work experience in a U.S Healthcare process (mandatory)
Additional Requirements Must have good analytical abilities, independent
Education
Graduates
No. of positions 10
Salary Range
Designation Manager - AR
Job Description
Improve Accounts/Teams Performance
Handle all client queries and immediately take actions
Do forecasting (Collections),client presentations and budgeting
Motivate team to achieve desired Quality and Production targets
Conduct performance appraisals for Assistant Managers, Team Leaders (TL) and assist with appraisals of Executives.
Identify training needs and arrange for training, re-training and cross training, as required.
Help Assistant Manager and TL to implement corrective action as required
Support and monitor day-to-day work processes and meet production and Service Level Guarantee (SLG).
Conduct periodic and surprise audits and checks to ensure compliance with documented policies and procedures.
Planning and process development
Innovate to optimize production and constantly improve Production, Quality and Collections.
Participate in and contribute to client conference calls, management meetings and department meetings
Facilitate to meet contractual obligations and client expectations
Assess and forecast staffing requirements based on client communication and incoming volume
Maintain cost effective and stable workforce to absorb volume volatility
Coordinate with the HR department to recruit per expected volume and required skill sets
Draw a plan of action in coordination with Assistant Manager and the Quality Analyst based on feedback from the Quality Analyst
Ascertain training areas based on reports from the Quality Analyst
Reduce unwanted costs
Contingency plans
Assist Assistant Manager to manage the availability of Executive on a real time basis to ensure SLG is met
Experience range 6+ years
Requirements
(vii) Essential
(viii) Desirable Graduates with excellent spoken and written communication skills
Basic Key board Skills with a reasonable speed (20-30 wpm) and internet savvy.
Knowledge of MS Word, Excel
Experience in working on Windows 2000, XP environments
Work experience in a U.S Healthcare process (mandatory)
Additional Requirements Must have good analytical abilities, independent
Education Graduates
No. of positions 10
Designation Quality Analyst AR
Job Description
One should have operations experience in the Billing and Accounts receivable functions of Provider RCM cycle. Sound domain knowledge of billing and AR processes a must. Skills to include managing people, coaching, mentoring and giving direction to the team. Reporting, interacting with customers-internal and external, providing feedback and process improvements. Must be willing to work in the Quality function of provider processes.
Experience range 3+ years
Requirements
(ix) Essential
(x) Desirable Exposure to BPO industry is a must-minimum of 2-3 years in the Provider (Billing & AR processes).
Should have been at a Quality auditor for 2 years.
Knowledge of Healthcare industry (Provider Processes) is a must.
Six Sigma Training is highly desirable.
People and Time management. Excellent Analytical skills.
Ability to work under pressure.
Effective interpersonal skills, ability to exercise influence
Solid leadership skills.
Sound communication skills
Additional Requirements Must have good analytical abilities, independent
Education Graduates
No. of positions 25
Designation Sr. Training Manager AR
Job Description
Manage Healthcare training.
Handle all client queries and immediately take actions.
Training new hires and the employees on health care.
Motivate team to achieve desired Quality and Production targets.
Identify training needs and arrange for training, re-training and cross training, as required.
Ascertain training areas based on reports from the Quality Analyst
Experience range 2+ years
Requirements
(i) Essential
(ii) Desirable Exposure to BPO industry is a must-minimum of 2-3 years in the Provider (AR processes).
Should have been Trainer for 2 years.
Knowledge of Healthcare industry (Provider Processes) is a must.
People and Time management. Presentation skills.
Ability to work under pressure.
Effective interpersonal skills, ability to exercise influence
Solid leadership skills.
Sound communication skills
Additional Requirements Must have good analytical abilities, independent
Education Graduates
No. of positions 02
Designation Coder / Sr. Coder
Job Description
Experience range 2+ years
Requirements
(i) Essential
(ii) Desirable Exposure to BPO industry is a must-minimum of 2-3 years in the Provider (Coding).
Knowledge of Healthcare industry (Coding) is a must.
People and Time management. Excellent Analytical skills.
Ability to work under pressure.
Effective interpersonal skills
Basic Key board Skills with a reasonable speed (20-30 wpm) and internet savvy.
Knowledge of MS Word, Excel
Additional Requirements Must have good analytical abilities.
Education Bachelors Degree--Life sciences, B pharmacy, physiotherapists, medical doctors etc AND/OR Medical transcriptionists with 2 years experience having transcribed reports of multiple specialties.
|
Language Requirements: |
|
| Employment Type: |
Full Time |
| Yearly Salary: |
Unspecified |
| Posting Date: |
2009-09-10 |
| Level of Education: |
Unspecified |
| Years of Work Experience: |
No experience |
| Company: |
Teamzinterface services |
| Contact Name: |
Teamzinterface services |
| Contact Phone: |
040-64529154 |
| Preferred Method of Contact: |
No Preference |
| Preferred Language of Resume/Application: |
English |
|
|
|
