Junior Revenue Cycle Representative

Job Description

Job Description

Junior Revenue Cycle Representative AR/EVBV As a Junior Revenue Cycle Rep, you will play a critical role in managing the organization’s Revenue inflows. Your primary responsibility will be ensuring that the providers are receiving timely payments. Key Responsibilities AR:

Review outstanding insurance balances to identify and resolve issues preventing the claim payment, including coordination with the payers when appropriate via call or through website

Analyze the outstanding claims/claim denials to improve first pass denial rates and reduce age of overall AR

Ensure that all the workflow items are completed within set turn around time within quality expectations

Responsible to follow up with insurance/payer for the claim status

Responsible for sending appeal package through appropriate channels (fax/email/electronic portals) along with attaching the supporting documents such as medical records

Confirm patient’s insurance coverage and active status

Contact insurance/payer or use online portals for real time verification

Key Responsibilities EVBV:

Verify patient insurance coverage and eligibility for medical services

Contact insurance companies via phone, online portals, or fax to confirm benefits and policy details

Accurately document insurance verification details in the system

Identify and resolve discrepancies in insurance information

Qualification:

Graduates from Commerce and Science streams only. (Postgraduates, Diploma holders, and Life Science graduates are not eligible.)

Required Skills:

Ability to communicate effectively

Good analytical skills where you can analyze the reason for rejection and/or denial

Good writing skills

Proven efficient and accurate keyboard/typing skills

Flexible to work in night shift