R.C.M. - Accounts Receivable analyst
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.
Job Types: Full-time, Permanent
Pay: ₹15,396.92 - ₹40,188.82 per month
Benefits:
- Health insurance
- Leave encashment
- Paid time off
- Provident Fund
Work Location: In person