Full Description
Strengthen a profession as AR Analyst in Medical Billing
Job Description
Duties:
You will create a "root cause" report from a spreadsheet of denied claims, determining if the errors are due to front desk entry, coding, or insurance processing.
Using your extensive understanding of insurance rules and provider contracts, you will take on the most challenging "unpaid" situations in an effort to recover all of the money that is due.
Prioritizing the "Aging Bucket," you will deliberately target claims that fall within the 60-90-120 day range in order to keep them from turning into "timely filing" losses.
You will keep an eye on the payments made by various insurance companies and report any irregularities in underpayment or unlawful delays.
As a consultant, you will give the Demo and Charge Entry
teams the information they require to "proof" their work against potential denials.
Focus Skills:
Analytical Expertise: Advanced ability to interpret "EOBs" and "ERAs" to find hidden patterns in why insurance companies are withholding funds.
Healthcare Regulations: Deep knowledge of HIPAA, Fair Debt Collection Practices (FDCPA), and state-specific "Prompt Pay" laws.
Technical Mastery: Proficiency in Microsoft Excel (VLOOKUPs, Pivot Tables) and major RCM platforms like NextGen, eClinicalWorks, or Epic.
Strategic Communication: Strong negotiation skills to deal with insurance adjusters and the ability to explain complex financial data to healthcare providers.
Apply now to become an integral part of our growing team!
With Regards,
HR - Maria
88708 33430
infohrmaria04@gmail.com