Opportunity Description
Key Responsibilities:
Process:
● 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 it's accurate action.
● Analyze denials from insurances, verify its authenticity, understand causes and resolve them.
● Ensure claims are followed up as per assigned ticklers within the stated time period.
● Manage ageing on the assigned workfile.
EV/BV:
● Responsible for reaching out to the payor to check on the insurance eligibility and the benefits of ...