Hiring For Underpayment profile

2 weeks ago

Gurgaon, Haryana, India R1 RCM Full time ₹ 4,00,000 - ₹ 8,00,000 per year

Study and analyze the healthcare reimbursement models to ensure the revenue estimation is in-line with the contracts.

Diagnose and understand how the underpayment occurred and what our client could have done to prevent it.

Work on financial analysis, reviews, and deep dives on client specific healthcare data, making sure of accuracy of revenue projections and actual collections.

To call payors for underpaid charges and get status to provide correct resolution for claims for underpayment and denials.

To perform various analytical reviews and deep-dives (root cause analysis) on client-specific for underpayment validation and find out better way to manage calls and target simultaneously.

Identify the reason of variance by applying all healthcare reimbursement methodology.

Find out the status of appeals/claims through various web payor portals.

To effectively communicate the findings/ observations with recommended action to US team/clients.

Handling client calls and communicating effectively for task deliverables and inventory/workflow management/overdue claims management.

Maintaining quality for each claim and provide proper comments for observations.

Should have good understanding of notes interpretation.

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