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Hiring Accounts Receivable Executive

  • AB7Solutions
  • Mohali, Punjab, India
  • Sep 08, 2020
Full time Health Care

Job Description

n A/R representative is responsible for timely and accurate follow-up and appeal of denials/rejections received from third-party payers. The representative will manage their assigned work to ensure payer appeal/filing deadlines are met and achieve optimal payment for services rendered. 

  • Graduate with 1-5 years’ experience in the US health care industry (HB or PB – HB preferred).
  • Ability to read and interpret the insurance explanation of benefits (EOBs
  • Knowledge of payer edits, rejections, rules, and how to appropriately respond to each.
  • Accuracy in identifying the cause of rejections/denials and selecting the most appropriate method for resolution.
  • Demonstrated proficiency with timely and successful appeals to insurance companies

Job Location: Mohali Punjab

Salary  - 25000- 47000 Per Month 

 

 

About AB7Solutions

Process - Credentialing 

Designation: Credentialing and Enrollment Specialist

Office Location - Mohali 

Experience Required - 2 - 4 years

Salary Range - 2,50,000 - 6,00,000 PA 

 

Position Description - Can collect all the data and documents required for filing credentialing applications from the physicians.

 

Primary Responsibilities:-

  • Maintain current and accurate data for all providers. 
  • Complete provider credentialing and credentialing applications; monitors applications and follows-up as needed.
  • Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
  • Maintains corporate provider contract files. 
  • Maintains knowledge of current health plan and agency requirements for credentialing providers.
  • Sets up and maintains provider information in online credentialing databases and systems.
  • Tracks license and certification expirations for all providers to ensure timely renewals.
  • Sets up and maintains provider information in online credentialing databases and systems. 
  • Tracks license and certification expirations for all providers to ensure timely renewals.
  • Ensures practice addresses are current with health plans, agencies, and other entities. 
  • Processes applications for appointment and reappointment of privileges to The Doctors Clinic (ASC).
  • Processes applications for appointment and reappointment of privileges to The Doctors Clinic (ASC). 
  • Maintains ASC appointment files, and information in the credentialing database. 
  • Store the documents centrally on our secure document management systems 
  • Obtain the enrolment number from the payer and communicate the state of the application to the physician 
  • Obtain the enrolment number from the payer and communicate the state of the application to the physician , 
  • Periodic update of the document library for credentialing purposes.  
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