Operations Associate at Falckon Health, performs a variety of tasks associated with the medical billing and collections process and ensures optimal performance of the practice by implementing the transformational revenue cycle management services and solutions.

• Prepares, edits, and submits account billing in a timely manner and in accordance with customer contract and payer rules and regulations.
• Demonstrates exceptional service and integrity related to customer accounts through accurate, timely, relevant, and quality work efforts of all Accounts Receivable or assigned tasks.
• Follows up with insurers and patients to collect outstanding balances while providing exceptional customer service focused on building enduring business relationships.
• Research and processes charge revisions, corrections, adjustments, and/or discounts associated with disputes.
• Responsible for telephone and/or written correspondence with insurance companies for claims follow up.
• Documents case activity, communications, and correspondence in Company database to ensure completeness and accuracy of account activity and actions taken to resolve
• Ensures that secondary bills and patient invoices are accurately generated and submitted on a timely basis.
• Accurately identifies and updates various types of insurance entry information as needed.
• Responsible for identifying potential errors that require necessary coding reviews, corrections, or adjustments.
• Maintains professional and technical knowledge by staying current on relevant products, health insurance plans, policies, and procedures.
• Leverages revenue cycle management expertise to provide input on training content, knowledge transfer programs, policies, and procedures in order to improve efficiency and effectiveness of the entire process.
• Adheres to all internal Corporate Compliance guidelines, OIG, government healthcare regulations, regulatory policies and procedures, and privacy and security standards in accordance with government agencies, including HIPAA requirements.
• Treats Protected Health Information (PHI) with the strictest confidentiality in accordance with HIPAA standards.
• Acquires a basic understanding of the field to include regulatory compliance issues and adheres to these guidelines.
• Maintain an appropriate professional appearance and demeanor in accordance with Company policy
• Read and analyze various internal reports that contain claims and insurance information

• Completed or following final year degree/professional qualification.
• Experience in working for RCM or similar industry will be an added advantage.
• Be able to work in US shift hours (Night)- 7.00 PM to 4.00 AM.
• Independent; ability to work under minimal supervision.
• Strong interpersonal skills, verbal and written communication skills, and the ability to communicate effectively across multiple levels of management in English.
• Strong organizational skills; detail-oriented, thorough, dependable, trustworthy, with positive attitude.
• Ability to multi-task effectively without compromising the quality of the work.

• Attractive Remuneration.
• Performance based salary increment and annual bonus.
• Meal and Night Shift Allowance.
• Opportunity to directly work with US clientele.
• Open culture and friendly working environment.
• Focused internal and external training programs to enhance the skills of individuals.

Recognized with a Best in Business Award for the year 2021 by the Inc Magazine, Falckon Health is a fast-growing healthcare solutions provider with a dedicated team that transforms and ensures the financial well-being of healthcare providers. Falckon Health offers complete end to end Revenue cycle Management Services and Integrated technology solutions to US Healthcare Industry.