Full Description
AR Analyst Advances in Medical Management
Candidate Application:
Full Name:
Contact Number:
Email Address:
Current Location:
Position Applied For:
Qualification:
Year of Passout:
Candidate Category: Fresher / Experienced
Willingness to Relocate: Yes / No
Total Years of Experience: (If applicable)
Current/Last Drawn Salary (Monthly/Annual):
Notice Period:
Job Description:
Responsibilities:
Aging Analysis: Review the AR Aging Report on a weekly and monthly basis, classifying unresolved claims according to "Payer," "Age," and "Denial Reason."
Denial Trend Identification: To identify systemic patterns in denials, examine Electronic Remittance Advice (ERA).
Workflow Strategy: Make sure the team concentrates on high-value claims or payers with the best chance of recovery by creating and allocating prioritized "Work Queues" for AR Callers.
Complex Dispute Resolution: Manage high-level appeals for valuable claims that need for legal or clinical support
Payer Performance
Reporting: Monitor and document "Clean Claim Rates" and "Payer Turnaround Times" to assist management in contract negotiations.
Write-off & Adjustment Management: Examine and accept or reject requests for write-offs or adjustments, making sure they comply with HIPAA regulations and the provider's financial rules.
Required Skills:
Advanced Analytics: The ability to work with big billing datasets using MS Excel's pivot tables, VLOOKUPs, and data visualization.
RCM Lifecycle Mastery: A thorough comprehension of the whole revenue cycle, from patient registration to zero balance.
Making decisions: The capacity to differentiate between "bad debt" and "collectible" debt in order to maximize teamwork.
Compliance expertise: in-depth familiarity with HIPAA privacy regulations and the Fair Debt Collection Practices Act (FDCPA).
Experience: 0 to 3 yrs
Salary: Best in the Industries
Immediate Joiner Mostly Preferred
Interested Candidates Contact the HR ASAP
Warm Regards,
HR - Maria
88708 33430
infohrmaria04@gmail.com