Accounts Receivable Associate

7 hours ago

Vikroli Mumbai Maharashtra, India Harris Computer Systems Full time

We are seeking a detail-oriented and proactive Accounts Receivable (AR) Associate to join our medical billing team. This role is critical in ensuring the financial health of the organization by managing the accounts receivable process, including billing, claim processing, and payment reconciliation, ensuring accuracy and adherence to healthcare standards.

Expected Hours of Work: 8pm to 5am IST/ 9pm to 6am IST Work Mode: Work From Office

Primary Functions: Pre-Call Analysis & Claim Status Verification: Conduct thorough pre-call analysis by reviewing patient accounts, verifying insurance coverage, and utilizing payer portals, IVR systems, or direct calls to assess claim status. Ensure all necessary documentation is available before initiating follow-up.

Comprehensive Documentation & Audit Trail Maintenance: Maintain detailed records of all interactions and actions taken on client software, ensuring a clear audit trail. This includes documenting follow-up activities, communications with payers, and any relevant updates to support future reference and compliance. Post-Call Actions & Follow-Up Analysis: Record after-call actions promptly and perform post-call analysis to evaluate the effectiveness of follow-up efforts. Identify any unresolved issues and take appropriate steps to ensure timely resolution of outstanding claims. Thorough Research & Information Gathering: Prior to contacting payers, gather and review all relevant documentation, including authorizations, nursing notes, medical records, and explanations of benefits (EOBs). Ensure a comprehensive understanding of the patient's account to provide accurate information during followup calls. Denial & Underpayment Analysis: Analyze accounts receivable data to identify patterns in denials and underpayments. Utilize appropriate codes to document reasons for denials or underpayments, such as missing information, lack of authorization, or coding errors. Implement corrective actions to reduce future occurrences and improve cash flow

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