Company Name 1
Simitree Healthcare Consulting
Job Title
Accounts Receivable Specialist & Medical Virtual Assistant
Job Description
Rebill claims through Waystar, Direct Data Entry, EHR/EMR. OASIS Review, Calling insurances, Resubmit & Rebill with Return to Provider, Denied, Rejected, ADR, less paid claims. Process appeals for denied claims. Check & review EOBs and update, resubmit or rebill. Update 40 claims and its status/ RFNP everyday through Arbor. Calling Insurance to make a follow up on the claims. Sending emails to the agencies through Helpscout.
Update Health Analysis report (Recommended Write-off, Client request tabs)Generate regular reports on accounts receivable status and aging reports.
Provide management with insights and recommendations regarding outstanding receivables. Maintain positive relationships with home healthcare facility by addressing inquiries and concerns related to billing and payments.
Proficient in utilizing EHR/EMR: Practice Fusion, eClinicalWorks, AdvancedMD, Athena,Alora, Wellsky, Axxess, etc.
Tools: Helpscout, Arbor, Waystar
Portals: Availity
Company Name 2
Concentrix
Job Title
CSR/Sr. Quality Analyst/ Team leader
Job Description
As Customer Service Representative
Assisting customers with inquiries related to their orders, including tracking, delivery issues, and refunds. Addressing and resolving complaints or issues promptly and effectively, ensuring customer satisfaction. Helping customers modify or cancel orders when necessary and providing information on menu items. Maintaining clear and professional communication with customers through various channels (phone, chat, email).
Tools: Genesys Cloud, Avaya, Salesforce, Bliss-chat, Microsoft Excel, Power Point, Word
As Trainee Team Leader
Managing and overseeing the daily operations of the BPO team. Monitoring and evaluating the performance of BPO agents. Providing guidance, support, and coaching to BPO agents. Handling client escalations and resolving issues in a timely manner. Ensuring adherence to service level agreements and quality standards. Analyzing performance metrics and implementing strategies to improve productivity and
efficiency. Conducting regular team meetings and performance reviews. Training and developing BPO agents to enhance their skills and knowledge.
Maintaining effective communication with clients to understand their requirements and
address any concerns. Collaborating with other departments to streamline processes and improve overall performance.