- To address outstanding or assigned AR through analysis and phone calls by using available resources
- Utilization of all possible tools and applications available to take account to the next level of resolution, which would result in a payment, corrected submission, appeals, patient transfer or adjustment
- To report trends / patterns in denials, claim submission errors, credentialing issues and billing related roadblocks to the immediate reporting manager.
- To meet the established SLAs (service level agreements) for production and quality
- To update the outcome of the calls or analysis in a clear and coherent manner in the billing system
- To utilize the P & P s (policies and procedures) established for the process and stay updated with changes done with the P & Ps
- To improve the performance based on the feedback provided by the reporting manager / quality audit team
Role: Billing / Records
Industry Type: Medical Services / Hospital
Department: Customer Success, Service & Operations
Employment Type: Full Time, Permanent
Role Category: Back Office
Education
UG: Any Graduate
PG: Any Postgraduate
About company
AGS is an analytics-driven, technology-enabled organization that provides healthcare billing, coding, and customized analytics services to some of the nations largest healthcare organizations. Our client services team is second-to-none in collaborating with clients to achieve their revenue goals. Our RCM products and services ease our customers’ administrative and financial burdens, so they can focus on their core mission of providing high-quality patient care.