XTN-345C608 | PROCESS ASSOCIATE
Make your next big career move by applying as KMC Solutions’ next PROCESS ASSOCIATE!
AGS Health, LLC (AGS) is a technology-enabled Revenue Cycle Management ("RCM") company that provides financial clearance, financial management, and clinical coding solutions and services to healthcare providers and vendors across the US. AGS Health has 10,200 employees across multiple offices in India and the US. The company generates annualized revenues of over $US 100 million. The CEO and the company have ambitions to transform from a traditional healthcare services company to an integrated technology and services organization that serves an expanded set of customer segments and offers a more diverse set of products and services.
On top of your salary, here are the exciting benefits you can look forward to:
- Comprehensive health benefits
- HMO + 1 dependent upon hire
- Training will be provided
- Pioneer team in the Philippines
- Work flexibly from anywhere in over 20+ workspace locations
- Access to KMC's exclusive pantry (MadMax Coffee, Fresh Fridge)
- Diverse learning & growth opportunities
- Accessible Cloud HR platform (Sprout)
- Above standard leaves
The main responsibilities of a PROCESS ASSOCIATE include:
- Ensure quality-driven follow-up activities and resolution of accounts are carried out with the insurance carriers on the outstanding inventory to yield maximum cash flow and minimum bad debts
- Interact by Phone and Internet-based portals with the insurance companies in the US to procure the status of the claim followed by appropriate activities to address open AR
- The key function of an AR Executive is to ensure the below responsibilities are carried out to the best of his/her ability in the interest of the organization and client
- 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 the 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 also 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
To apply for the role, you must have the following:
- University graduate with an average aptitude score
- Minimum 12 months – 4 years of AR follow-up experience with either physician or hospital billing background
- CPAT/CCAT certification will be an added advantage
It will also be favorable if you have the following:
- Sound analytical skills
- Logical thinking
- Attention to detail
- Adequate domain knowledge of various billing terminologies & processes
- Good verbal and written communication skills
COMPLIANCE
Awareness and adherence to all applicable organization-wide policies and procedures, including but not limited to Information security, HIPAA and HR policies
COMPENSATION AND BENEFITS
Competitive remuneration + annual performance-based bonus + standard industry benefits. The relocation package, per company policy, will apply to candidates outside the office base city.
KMC Careers
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We offer attractive salaries and benefits plus you get to work in some of the Philippines' best flexible workspaces. Our employees also get to enjoy exclusive discounts, rewards and freebies, and invites to our monthly events. We are always recruiting for roles in IT & Development, Ma