Full Description
AR Analyst Wanted for US Billing Claims Are Real
Job Description
Healthcare providers' accounts receivable portfolio is analyzed, managed, and optimized by the AR Analyst, a strategic financial specialist. Beyond just following up, your main responsibilities include finding trends in claim rejections, doing in-depth root cause analysis, and putting systemic fixes in place to increase collections. As the billing department's "intelligence unit," you make sure the revenue cycle is steady and predictable. The ideal applicant is a critical thinker who can convert intricate data sets into workable plans to slow down receivables' aging and enhance the practice's overall financial stability.
Responsibilities
Trend Analysis: Keep an eye on the AR aging bucket to spot patterns in systematic denials and trends in payer behavior.
Investigate high-value denials and persistent rejections using root cause analysis (RCA) to see if front-end registration, coding, or payer-specific technicalities are the source of the problems.
Workflow Optimization: Make sure that high-priority claims are handled first by working with the
AR Calling and Coding teams to improve workflows.
Appeals Strategy: Create and manage the plan for complicated administrative and clinical appeals, making sure that all contractual and legal deadlines are fulfilled.
Payer Performance Reporting: Produce and deliver monthly reports on Key Performance Indicators (KPIs), including Net Collection Rate and Days Sales Outstanding (DSO).
Credit Balance & Refund Management: To guarantee adherence to payer refund regulations, locate overpayments and oversee the credit balance procedure.
Skills:
Data analytics: Expertise with reporting tools and MS Excel (Pivot Tables, VLOOKUPs, Data Visualization).
Domain expertise in RCM: thorough comprehension of HIPAA rules and the entire Revenue Cycle Management process.
The capacity to link divergent data pieces in order to determine the "why" behind financial disparities.
Proficiency in ICD-10, CPT, and HCPCS coding is necessary to comprehend the clinical rationale for denials.
We invite you to apply and explore this exciting opportunity!
Warm Regards,
HR - Maria
88708 33430
infohrmaria04@gmail.com