Senior Associate

3 weeks ago

Hyderabad, India Newport Medical Solutions Full time

Job Title: Senior Associate - Account Receivables

Years of Experience: 2+ Years

Shift Timings: Night Shift (7:00 PM to 4:00 AM)

Location: Hyderabad, Telangana

Education Qualification:

  • Any graduate

Skill Set Requirements:

  • Excellent Communication Skills and Analytical Skills

Job Description

  • AR callers with 2+ Years of RCM Experience (Physician Billing).
  • Hands-on knowledge of US healthcare billing, payers, claims processing, and AR denial management.
  • Good knowledge and understanding of Provider Information & Patient Information as it impacts claim resolution.
  • Ability to analyse complex payment and denial issues with attention to detail.
  • Review and analyse assigned claims, checking their status through payer communication, IVR, or web portals.
  • Conduct detailed follow-up on unpaid or denied claims, including calling payers and submitting necessary documentation to resolve issues.
  • Handle complex denial management by investigating rejection reasons and preparing appeals.
  • Proficient in medical billing software including advanced platforms like AdvancedMD, NextGen, Epic, eCW, Greenway, Centricity G4.
  • Knowledge of Clearing House Rejections/Denials and its resolution
  • Knowledge of Payor Denials and Resolution
  • Knowledge of Appeals Process - Form types/Documents related to Appeals, Online Appeals
  • Basic coding knowledge - ICD/CPT, E/M codes, code Series, Modifiers in Physician billing

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