Job description :
- Review videos of AR-Follow Up personnel to assess whether they are properly managing claims, ensuring that established procedures are being followed.
- Document detailed observations in a report, highlighting both positive aspects and areas for improvement identified in the staff during the Process Control review of the videos.
- Conduct training sessions based on the findings of the review, ensuring that staff correctly follow the steps in claim resolution, including investigation, problem identification, solution proposal and solution implementation.
- Generate and send statistical performance reports to supervisors, highlighting key trends and opportunities for continuous improvement in personnel management.
- Analyze root causes of recurring claims management problems, proposing process and agent training improvements to increase efficiency and reduce future errors.
Collaborate with supervisors and the management team to implement these improvements and monitor their impact.
Ensure the desired quality for each client by improving claim management processes, achieved through comprehensive agent training and other necessary methodologies, such as process optimization, performance monitoring, and continuous feedback or education.
This approach guarantees that personnel agent is equipped to deliver the highest standards in AR-Follow Up, fully aligned with client expectations.
Requirements : Knowledge :
Knowledge :
- At least 3 years experience in AR Follow Up, part B.
- Management of Availity, Optum, Medicare, Spot platforms, among others, to obtain claim status.
- Good analytical skills and proficiency with MS Word, Excel, and PowerPoint
- Ability to interact positively with team members, peer group and seniors.
- 24*7 Environment, Open for night shifts