XTN-345C608 | PROCESS ASSOCIATE

Make your next big career move by applying as KMC Solutions’ next PROCESS ASSOCIATE!

AGS Health, LLC (AGS) is a technology-enabled Revenue Cycle Management ("RCM") company that provides financial clearance, financial management, and clinical coding solutions and services to healthcare providers and vendors across the US. AGS Health has 10,200 employees across multiple offices in India and the US. The company generates annualized revenues of over $US 100 million. The CEO and the company have ambitions to transform from a traditional healthcare services company to an integrated technology and services organization that serves an expanded set of customer segments and offers a more diverse set of products and services.

On top of your salary, here are the exciting benefits you can look forward to:

• Comprehensive health benefits
• HMO + 1 dependent upon hire
• Training will be provided
• Pioneer team in the Philippines
• Work flexibly from anywhere in over 20+ workspace locations
• Access to KMC's exclusive pantry (MadMax Coffee, Fresh Fridge)
• Diverse learning & growth opportunities
• Accessible Cloud HR platform (Sprout)
• Above standard leaves

The main responsibilities of a PROCESS ASSOCIATE include:

• Ensure quality-driven follow-up activities and resolution of accounts are carried out with the insurance carriers on the outstanding inventory to yield maximum cash flow and minimum bad debts
• Interact by Phone and Internet-based portals with the insurance companies in the US to procure the status of the claim followed by appropriate activities to address open AR
• The key function of an AR Executive is to ensure the below responsibilities are carried out to the best of his/her ability in the interest of the organization and client
• To address outstanding or assigned AR through analysis and phone calls by using available resources
• Utilization of all possible tools and applications available to take the account to the next level of resolution, which would result in a payment, corrected submission, appeals, patient transfer, or adjustment
• To report trends/patterns in denials, claim submission errors, credentialing issues, and billing-related roadblocks to the immediate reporting manager
• To meet the established SLAs (service level agreements) for production and quality
• To update the outcome of the calls or analysis in a clear and coherent manner in the billing system
• To utilize the P & P’s (policies and procedures) established for the process and also stay updated with changes done with the P & Ps
• To improve the performance based on the feedback provided by the reporting manager/quality audit team

To apply for the role, you must have the following:

• University graduate with an average aptitude score
• Minimum 12 months – 4 years of AR follow-up experience with either physician or hospital billing background
• CPAT/CCAT certification will be an added advantage

It will also be favorable if you have the following:

• Sound analytical skills
• Logical thinking
• Attention to detail
• Adequate domain knowledge of various billing terminologies & processes
• Good verbal and written communication skills

COMPLIANCE

Awareness and adherence to all applicable organization-wide policies and procedures, including but not limited to Information security, HIPAA and HR policies 

COMPENSATION AND BENEFITS

Competitive remuneration + annual performance-based bonus + standard industry benefits. The relocation package, per company policy, will apply to candidates outside the office base city.

KMC Careers

If you're a rockstar at what you do and looking to be a part of our amazing story, we want to hear from you!

We offer attractive salaries and benefits plus you get to work in some of the Philippines' best flexible workspaces. Our employees also get to enjoy exclusive discounts, rewards and freebies, and invites to our monthly events. We are always recruiting for roles in IT & Development, Marketing, Business Administration, HR & Recruitment and Legal & Finance Roles.

KMC provides quality employment opportunities for job-seekers looking for a career that is both challenging and fulfilling. We are also committed to providing equal opportunities at every selection stage. We do not discriminate due to age, gender, sexual orientation, ethnicity, nationality, and religion.

Work with Us. Grow with Us.

KMC Solutions offers a variety of career opportunities in Metro Manila, Cebu and Clark & Iloilo. We are always looking for talented and enthusiastic individuals who are ready to make their next big career move.

Our Culture

At KMC, we foster an inclusive and positive workplace for all. We push our members to succeed in everything they do through our collaborative work environment. We encourage our community to work hard and reach their full potential while delivering results that matter for our members and you as professionals.

We host amazing and quality events and implement people-centric policies to work flexibly. We ensure that everyone in our expansive network is engaged, from our internal employees and those who work on behalf our offshore partners.

Life within KMC: Work Hard Party Harder

At KMC, we work hard and we are committed to putting our best foot forward in everything we do. Everyone is encouraged to be an individual while also working for the collective good of the KMC Community. We believe mistakes are opportunities and that you should not present a solution without a problem.

We also know when hard work deserves to be recognized so we reward our employees with monthly parties, free trips and much much more!