Business Analyst

2 weeks ago

Bengaluru Kochi Pune, India Talent Sketchers Full time ₹ 9,00,000 - ₹ 12,00,000 per year

Hello Candidates

Greetings from Talent Sketchers

Kindly find the details below

Designation - Business Analyst

Experience - 7+ years

Location - Pune, Chennai, Mumbai, Bengaluru, Hyderabad, Kochi, Thiruvanthaapuram

Work Mode - Hybrid

Detailed JD

We are seeking a highly skilled and detail-oriented BA with specialist RCM knowledge to help in detailing requirements for end-to-end revenue cycle operations. The ideal candidate will have hands-on experience across front-end, mid-cycle, and back-end RCM processes, with a strong understanding of payer requirements, coding standards, and claims workflows. Here is some more details

Key Responsibilities: The candidate should be experienced in the areas shown below and have experienced in creating detailed requirements.

Front-End RCM

•       Patient registration and intake with accuracy

•       Insurance eligibility and benefits verification

•       Prior authorization processes and coverage validation

•       Documentation of medical necessity and payer requirements

Mid-Cycle RCM

•       CPT, ICD-10, HCPCS, J-Codes, and SNOMED

•       Specifics  for submission of 837P and 837I

•       Understand payer-specific rules and clean claim submission

•       Denials and resubmissions with appropriate documentation

Back-End RCM

•       Posting payments and Reconciliation of claims using ERA and EOBs

•       Analysis of payment variances and resolution of discrepancies

•       Management of  patient balances and coordination of billing follow-ups

•       Resolution process with finance and customer service teams

NOTE - Candidates can share their resume -

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