Healthcare Account Executive

Primary Roles Responsibilities

Answer Incoming calls and also make outbound calls.Ensure that right patient is identified before disclosing informationListen 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 processedUnderstand and handle disputesDetailed documentationEfficient Call Handling TimePotential Follow Up Methods Payment in Full and Partial Payment discussionsUnderstand difference between dispute & objectionEffective rate of speech - good communication & neutral accent Obtain Insurance details from patientsObtain Additional Info - Referral Information / PCP information, etc.Call for accidental Information like DOA Demographic details/ Mismatch in Name and DOBUpdate patient about their out of pocket expensesObtain WC details, Injury Date COB Update/ABN/AOB pendingAppointment Scheduling, Appointment Cancelation, Appointment Reminder

Secondary Roles Responsibilities

Maintain professional decorum and punctualityPlan leaves well in advanceEnsure good interpersonal relation is maintained while coordinating

Compliance

Ensure privacy and security in the operation and in the operation area that includes work from office and home.Ensure you have acknowledged all the Organizational policies as per HR ProcedureEnsure you are attending the Compliance awareness and refresher sessions & other security training programs as per L&D ProcedureEnsure you are aware of agreed SLA of the projects you are working.Follow all the Information security guidelinesReport any Security & Privacy incidents to your reporting manager/ HR/Compliance Team/CISOEnsure Confidentiality, Integrity & Availability of Data/information you handleAdhere to the NDA & confidentiality AgreementAdhere to the Micro Company's CISO's roles & responsibilities if you are a Micro Company Compliance SPOC