Account Executive - Band 8

<p class="MsoNormal" style="margin-bottom:0cm;"><b><span style="color:#C00000;"> </span></b></p><p class="MsoNormal" style="margin-bottom:0cm;"><b><span style="color:#C00000;">JOB TITLE: </span></b><span style="color:#000000;">Trainee - </span><span lang="en-us" style="color:#000000;" xml:lang="en-us">Account Executive </span></p><p></p><p class="MsoNormal" style="margin-bottom:0cm;"><b><span style="color:#C00000;"> </span></b></p><p class="MsoNormal" style="margin-bottom:0cm;"><b><span style="color:#C00000;">JOB SUMMARY:</span></b></p><p><b></b></p><b></b><p class="MsoNormal" style="margin-bottom:0cm;"><span lang="en-us" xml:lang="en-us">Working in U.S. Shifts, the executives in this department, collect billing outstanding, on behalf of Doctors, Hospitals and Healthcare providers. </span></p><p></p><p class="MsoNormal" style="margin-bottom:0cm;"><span lang="en-us" xml:lang="en-us"> </span></p><p class="MsoNormal" style="margin-bottom:0cm;"><b><span lang="en-us" xml:lang="en-us">Job Requisites:</span></b></p><p><b></b></p><b></b><p class="MsoListParagraphCxSpFirst" style="margin-bottom:0cm;text-indent:-18pt;"><span lang="en-us" style="font-family:Symbol;" xml:lang="en-us">·<span style="font-style:normal;font-variant:normal;font-size:7pt;line-height:normal;font-family:'Times New Roman';"> </span></span><span lang="en-us" xml:lang="en-us">Under Graduation Degree – Preferably, Arts and Science</span></p><p></p><p class="MsoListParagraphCxSpMiddle" style="margin-bottom:0cm;text-indent:-18pt;"><span lang="en-us" style="font-family:Symbol;" xml:lang="en-us">·<span style="font-style:normal;font-variant:normal;font-size:7pt;line-height:normal;font-family:'Times New Roman';"> </span></span><span lang="en-us" xml:lang="en-us">Excellent English Communication Skills</span></p><p></p><p class="MsoListParagraphCxSpMiddle" style="margin-bottom:0cm;text-indent:-18pt;"><span lang="en-us" style="font-family:Symbol;" xml:lang="en-us">·<span style="font-style:normal;font-variant:normal;font-size:7pt;line-height:normal;font-family:'Times New Roman';"> </span></span><span lang="en-us" xml:lang="en-us">Adherence to U.S. Shift Timings</span></p><p></p><p class="MsoListParagraphCxSpMiddle" style="margin-bottom:0cm;text-indent:-18pt;"><span lang="en-us" style="font-family:Symbol;" xml:lang="en-us">·<span style="font-style:normal;font-variant:normal;font-size:7pt;line-height:normal;font-family:'Times New Roman';"> </span></span><span lang="en-us" xml:lang="en-us">Good analytical and listening skills</span></p><p></p><p class="MsoListParagraphCxSpMiddle" style="margin-bottom:0cm;text-indent:-18pt;"><span lang="en-us" style="font-family:Symbol;" xml:lang="en-us">·<span style="font-style:normal;font-variant:normal;font-size:7pt;line-height:normal;font-family:'Times New Roman';"> </span></span><span lang="en-us" xml:lang="en-us">Working knowledge in MS office</span></p><p></p><p class="MsoListParagraphCxSpLast" style="margin-bottom:0cm;"><span lang="en-us" xml:lang="en-us"> </span></p><p class="MsoNormal" style="margin-bottom:0cm;"><b><span lang="en-us" xml:lang="en-us"> </span></b></p><p class="MsoNormal" style="margin-bottom:0cm;"><b><span lang="en-us" xml:lang="en-us">Roles and Responsibilities</span></b></p><p><b></b></p><b></b><p class="MsoNormal" style="margin-bottom:0cm;"><b><span lang="en-us" xml:lang="en-us"> </span></b></p><ul style="margin-top:0cm;" type="disc"> <li class="MsoNormal" style="margin-top:6pt;margin-bottom:6pt;line-height:normal;background-size:initial;"><span style="color:#000000;">Perform pre-call analysis and check status by calling the payer or using IVR or web portal services</span><p></p></li> <li class="MsoNormal" style="margin-top:6pt;margin-bottom:6pt;line-height:normal;background-size:initial;"><span style="color:#000000;">Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference</span><p></p></li> <li class="MsoNormal" style="margin-top:6pt;margin-bottom:6pt;line-height:normal;background-size:initial;"><span style="color:#000000;">Record after-call actions and perform post call analysis for the claim follow-up</span><p></p></li> <li class="MsoNormal" style="margin-top:6pt;margin-bottom:6pt;line-height:normal;background-size:initial;"><span style="color:#000000;">Assess and resolve enquiries, requests and complaints through calling to ensure that customer enquiries are resolved at first point of contact</span><p></p></li> <li class="MsoNormal" style="margin-top:6pt;margin-bottom:6pt;line-height:normal;background-size:initial;"><span style="color:#000000;">Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc prior to making the call</span><p></p></li> <li class="MsoNormal" style="margin-top:6pt;margin-bottom:6pt;line-height:normal;background-size:initial;"><span style="color:#000000;">Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments</span><p></p></li> </ul><p class="MsoListParagraphCxSpFirst" style="margin-bottom:0cm;text-indent:-18pt;"><span lang="en-us" style="font-family:Symbol;" xml:lang="en-us">·<span style="font-style:normal;font-variant:normal;font-size:7pt;line-height:normal;font-family:'Times New Roman';"> </span></span><span lang="en-us" xml:lang="en-us">Ensuring the daily assigned accounts are resolved/ worked on</span></p><p></p><p class="MsoListParagraphCxSpLast" style="margin-bottom:0cm;text-indent:-18pt;"><span lang="en-us" style="font-family:Symbol;" xml:lang="en-us">·<span style="font-style:normal;font-variant:normal;font-size:7pt;line-height:normal;font-family:'Times New Roman';"> </span></span><span lang="en-us" xml:lang="en-us">Escalate difficult collection situations to Team Leaders situations and seek education and instruction. </span></p><p></p><p class="MsoNormal" style="margin-bottom:0cm;"><span lang="en-us" xml:lang="en-us"> </span></p><p class="MsoNormal" style="margin-bottom:0cm;"><span lang="en-us" xml:lang="en-us">This is a target and quality based role. </span></p><p></p><p class="MsoNormal"><b><span lang="en-us" xml:lang="en-us"> </span></b></p><p class="MsoNormal"><b><span lang="en-us" xml:lang="en-us"> </span></b></p><p class="MsoNormal"><b><span lang="en-us" xml:lang="en-us"> </span></b></p><p class="MsoNormal"><b><span lang="en-us" xml:lang="en-us"> </span></b></p><p class="MsoNormal"><b><span lang="en-us" xml:lang="en-us"> </span></b></p><p> </p><p class="MsoNormal"><b><span lang="en-us" xml:lang="en-us"> </span></b></p>