Senior Associate
2 weeks ago
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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