Senior AR

2 weeks ago


Ahmedabad, India EMPClaims Full time

EMPClaims was recently recognized as a Top 10 vendor for RCM Services in the US, and we take pride in the quality of our services. Our customers include large health systems and small medical practices.

We offer you a competitive compensation package along with the opportunity to learn on the job, develop knowledge of the process, and grow your career.



Deliverables

  • Monitor and analyze the AR aging report, identifying delinquent accounts and developing strategies for collections and resolution
  • Maintain excellent communication with patients, payers, and other external entities regarding billing and payment inquiries.
  • Work closely with insurance companies, government payers, and other third-party payers to resolve claim rejections, denials, and discrepancies via calls
  • Review and interpret Explanation of Benefits (EOBs) and remittance advice to reconcile payments and identify potential underpayments or overpayments
  • Collaborate with Billing and Coding teams to ensure accurate coding and billing practices to minimize claim denials and rejections
  • Implement and maintain efficient and effective revenue cycle management processes, identifying areas for improvement and optimizing cash flow
  • Stay up-to-date with healthcare regulations, payer policies, and coding updates to ensure compliance with industry standards
  • Highlighting trends, and recommendations for process improvement

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