
AR Claims Resolutions Specialist
4 days ago
Job Title: AR Claims Resolutions Specialist
About the JobThis role is for a highly skilled professional with experience in resolving accounts receivable claims. The ideal candidate will have strong analytical and communication skills, as well as excellent problem-solving abilities.
Responsibilities- Analyze assigned claims to identify issues that require follow-up and resolve denials by taking appropriate actions.
- Ensure timely follow-up on claims to prevent write-offs.
- Work on contractual adjustments and write-off projects.
- Review previous notes and actions taken on claims and take corrective action if necessary.
- Identify opportunities to improve the follow-up process and recommend changes to practice instructions or SOPs.
- Attend training sessions to stay updated on new technologies, techniques, and industry developments.
- Continuously audit work to ensure quality standards are met.
To be successful in this role, you will need:
- A minimum of 2 years of experience in AR follow-ups (voice) in physician RCM.
- Strong knowledge of billing scrubbers and payer rejections.
- Understanding of other related functions in RCM.
- Proven track record of high cash collection/resolution rates.
- Excellent knowledge of commercial and federal payers, basic coding concepts, and CARC codes.
- Ability to interact positively with team members, peer groups, and seniors.
- Strong written and verbal communication skills.
- Proficiency in delivering high-quality outcomes.
- Ability to quickly grasp new concepts and comprehend various training aids and process documentation.
The ideal candidate will be willing to work from our office in India during night shifts (5:30 PM to 2:30 AM). Preference will be given to candidates based in Hyderabad. A graduation degree and releiving certificates from previous organizations are mandatory.
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