Process Analyst_AR Caller

Thryve Digital · Remote

Collected role description

enGen Global is an emerging global healthcare partner that delivers strategic innovation, expertise, and flexibility to its healthcare partners. Being a US healthcare conglomerate captive, we have direct access to deeper insights that help us accelerate our learning process and keeps us ahead of the curve. enGen Global delivers next-generation solutions that enable our healthcare partners to provide positive experiences to their consumers. Our global collaborative of healthcare, operations, and IT experts creates innovative and sustainable processes for our clients, which keeps the ever-evolving consumers engaged and assists them in managing the future of their healthcare better. We recognize that our people are our strength and the diverse talents they bring to our global workforce are directly linked to our success. Thryve is an equal opportunity employer and places a high value on integrity, diversity, and inclusion in the organization. We do not discriminate based on any protected attribute. For more information about the organization, please visit www.goengen.comRole Summary: This job takes the resource in providing timely delivery of assigned tasks and required a strong knowledge in denial management, Trend analysis and should be an expert in reviewing documents and EOB also identifying the end action to perform and a proven job knowledge in Hospital Billing/Physician Billing.JOB SUMMARYThis job gives an opportunity to work in a challenging environment to deliver high quality Solutions to meet the demands for our Global Customer. An ideal candidate should have experience in Hospital/Physician Billing and Denial Management. The candidate should be able to lead & own the Development of any Technical deliverables assigned to him\her & thereby delivering high quality & Innovative solutions for the client. Should be an excellent Team player & have excellent Problem solving & communication skillsESSENTIAL RESPONSIBILITIES

Responsible for calling Insurance companies (in US) on behalf of doctors/physicians and follow up on outstanding Accounts Receivable.
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.
Review provider claims that have not been paid by insurance companies.
Handling patients, billing queries and updating their account information.
Post cash and write off the contractual adjustments accordingly while working on the accounts.
Meeting daily/weekly and monthly targets set for an individual. EDUCATIONRequired
Should be a Graduate in any Stream EXPERIENCERequired
1- 3 years in Revenue Cycle and Delivery ManagementPreferred
Should be willing to work in US Shift.
Experience in Healthcare Revenue Cycle Management process
Having experience in both HB & PB is added advantage
Calling Experience is mandatory
Allscripts Sunrise and NextGen software knowledge is required
Strong written and verbal communication skills.
Good computer skills including Microsoft Office suite.
Ability to prioritize and manage work queue.
Ability to work independently as well as in a team environment.
Strong analytical and problem-solving skills in over 180+ days claims.

Collected experience requirement

1 - 3 Years