Healthcare Account Executive

Job Description

Answer Incoming calls and also make outbound calls

Ensure that right patient is identified before disclosing information

Listen to Customer queries and resolve and provide solutions, if unable to resolve, have the same escalated to the supervisors

If Insurance query, respond appropriately, also obtain relevant missing info from the patient so that claim can be processed

Understand and handle disputes

Detailed documentation

Efficient Call Handling Time

Potential Follow Up Methods

Payment in Full and Partial Payment discussions

Understand difference between dispute & objection

Effective rate of speech - good communication & neutral accent

Obtain Insurance details from patients

Obtain Additional Info - Referral Information / PCP information, etc.

Call for accidental Information like DOA

Demographic details/ Mismatch in Name and DOB

Update patient about their out of pocket expenses

Obtain WC details, Injury Date

COB Update/ABN/AOB pending

Appointment Scheduling

Appointment Cancelation

Appointment Reminder

Skills needed

1.     Good voice and demonstrate professional demeanour via phone. Should possess a positive attitude, should be confident and be receptive.

2.     Should be able to display empathy and when need be able to get into small conversation with the patient/subscriber to keep them engaged.

3.     Ability to multi-task. Excellent analytical skills with understanding of health care claims processing.

4.    Willingness to be a team player and show initiative where needed.