AR Analyst

6 days ago

Ahmedabad, Gujarat, India EMPClaims Full time US$ 60,000 - US$ 1,20,000 per year

R.C.M. - Accounts Receivable analyst (AR Anlyst)

Skill sets :

  • Must be detail oriented, organized, and possess the ability to apply critical thinking skills.
  • Must be proficient with the usage of Microsoft Office 365, especially MS Excel for Data Analysis and MS PowerPoint for presenting analyzed data
  • Physician - Medical Billing experience - 3 years minimum
  • Excellent communication skills and assertiveness to escalate and dispute issues with payors and communicate the trends to Leadership

Job Description:

  • Examine Denials resulting from non-compliance to Payor billing requirements, work with the Payor to find a resolution, and implement the correction by escalating to Leadership
  • Review 120+ AR for collection feasibility and determine adjustments required
  • Propose process improvements to address repeated issues or trends
  • Apply knowledge of insurance billing information including modifiers, authorization criteria, CPT, ICD-10 coding and payor specific requirements
  • Maintain communication with Payors regarding changes to policies and procedures and communicate the same to Leadership
  • Support the development and maintenance of Payor performance metrics (Denial Rate by payor, Gross Collection Rate by payor etc)
  • Maintain the First Pass resolution rate for practices at 90% or above
  • Always maintain the aging of Client Review AR bucket at less than 10% for 120+ and less than 20% for 90+ AR

Requirements:

  • Graduate in any stream.
  • Good comprehension of and command over English language.
  • Good analytical skills. Above average logic and reasoning ability.
  • Career focused and Results oriented.

Benefits
:

  • Health insurance
  • Leave encashment
  • Paid time off
  • Provident Fund

Work Location
: In person

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