Senior Client Service Executive

As a Senior Client Service Executive, you will play a vital role in our DeliveryMedical RCMVoice_Credentialing department. Your primary focus will be on managing client relationships and ensuring efficient revenue cycle management processes. You will be responsible for overseeing a team of client service executives and ensuring the timely and accurate completion of tasks.

Responsibilities

• Outbound calls to insurance companies for claim status and eligibility verification.
• Handle denial documentation and take necessary actions to resolve issues.
• Make calls to insurance carriers based on client appointments and follow-ups.
• Work on outstanding claims reports and account receivable reports, ensuring timely resolution.
• Communicate with insurance companies to obtain the status of unpaid claims and facilitate payments.
• Adapt to various voice-based processes as per business needs, including insurance follow-ups and patient calling.
• Maintain individual daily logs and ensure accurate record-keeping.
• Meet client SLAs by completing tasks with speed and accuracy.
• Foster a collaborative team environment and assist team members in achieving shared goals.
• Escalate communication and issues to seniors in a timely manner, ensuring smooth operations.

Qualifications

• Bachelor's degree in a relevant field, such as healthcare administration, business, or finance.
• Minimum 5 years of experience in medical revenue cycle management, with a focus on insurance processes.
• Strong knowledge of medical billing and coding practices.
• Excellent communication and interpersonal skills, with the ability to build strong client relationships.
• Proven leadership and team management experience.
• Proficiency in using relevant software and tools for revenue cycle management.
• Ability to work independently and manage multiple tasks simultaneously.
• Analytical skills to interpret data and make informed decisions.
• Flexibility to adapt to changing business needs and process requirements.
• Strong work ethic and a commitment to maintaining high standards of quality and compliance.