Patient Service Associate
- Bizmatics India
- 1 - 3 years
- Mumbai
- 10 months ago
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Job Description
Here at Harris, youll be working as part of 5 different business verticals, Public Sector, Healthcare, Utilities, Insurance and Private sector, with over 12,000 employees and more than 100,000 customers located in 200 countries around the globe. We need your help to keep growing and we hope you can become an integral part of the Harris family.
Job Summary: The Patient Services Back Office Associate is responsible for delivering excellent customer service while managing medical billing, claim follow-ups, and collections to ensure timely reimbursements. Key responsibilities include claim submissions, denial management, payment posting, and resolving outstanding balances while ensuring compliance with HIPAA and CMS guidelines. Strong communication skills and proficiency in English (speaking & reading) are required. The role involves working with multiple practice management systems, with product and workflow training provided.
Primary Functions:
- Address and resolve patient and provider billing inquiries related to services provided.
- Audit patient balances and escalate accounts requiring adjustments, following
- customer-specific guidelines.
- Update patient records, including home/billing address, contact details, and insurance
- information.
- Rebill claims as necessary while reviewing collection accounts.
- Generate and print patient statements while ensuring accuracy and completion.
- Process payments through client payment portals.
- Review and work on bad address/return mail reports, updating patient demographic
- information as required.
- Review collection reports and generate collection progression letters based on
- customer-specific processes.
- Prepare accounts for distribution to collection agencies as per defined protocols.
- Safeguard protected health information (PHI) and ensure compliance with HIPAA
- guidelines in all responsibilities.
- Crosstrain on various team tasks to ensure business continuity and provide backup
- support when needed.
- Support departmental and company goals and policies as a team player.
- Maintain good attendance and adhere to scheduled work hours, including timely
- returns from breaks and lunch.
- Escalate unresolved issues to the Patient Services Manager or Director as necessary.
Minimum Qualifications:
- 1. 1-3 years of experience in AR, medical billing, or revenue cycle management.
- 2. Understanding of Revenue Cycle Management (RCM) processes (e.g., patient registration,
charge entry, claim submission, denial management, collections). - 3. Understanding patient charts, updating bad addresses.
- 4. Handling payment posting, charge corrections, and reconciliation.
- 5. Working on small balance adjustments & running statements
- 6. Working on different software systems 7. Following up on pending or unpaid claims with payers.
Soft Skills/Personality:
1. Excellent Communication Skills (Written & Verbal)
2. Working Independently.
3. Critical Thinking
Interested Candidates can send the CVs at ms*****3@ha***********r.com
Job Classification
Industry: BPM / BPOFunctional Area / Department: Customer Success, Service & OperationsRole Category: Voice / BlendedRole: Voice / Blended - OtherEmployement Type: Full timeContact Details:
Company: Bizmatics India-HarrisLocation(s): Mumbai
Keyskills: AR Calling RCM US Healthcare Denial Management
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