Subject Matter Expert

5 days ago

Hyderabad Telangana, India Newport Medical Solutions Full time

**Subject Matter Expert - SME**

**Job Title: Subject Matter Expert - Account Receivables**

**Years of Experience: 4-5 Years**

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

**Location: Hyderabad, Telangana**

**Roles and Responsibilities**:
AR callers with good experience of 4+ Years RCM Experience (Physician Billing).

Knowledge of Federal, Commercial, and WC Payor Requirements

Understanding provider information and patient information as it impacts claim resolution

Knowledge of Clearing House rejections or denials and its resolution

Knowledge of Payor Denials and Resolution

Knowledge of Appeals Process: Form Types and Documents related to Appeals, Online Appeals

Coding knowledge: ICD/CPT, E/M codes, Code Series, Modifiers in Physician billing, and its impact

Good IQ levels understanding the denials and timely resolutions.

Agents should have high task capabilities to work on Client analytics, High dollar claims, Rejections, Report management and maintaining Team metrics.

Demonstrate deep knowledge of Accounts Receivable and specialized experience in AR-Denial management.

Address and resolve complex AR-related issues, acting as the go-to resource for technical and process queries.

Guide and train AR teams for continuous performance and mentoring.

Strong analytical, problem-solving, and technical capabilities; excellent communication skills; and strong data analysis competencies.

Ability to customize training needs to meet the business requirements for specific practices/specialities

Ability to handle complex denials and strong determination to provide resolution on denials.

**Education Qualification:**

Any graduate

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