Accounts Receivable Analyst

Accounts Receivable Analyst Mandate to have 2yrs of Acute business with Ambulatory .

Acute Care:

• Immediate and intensive treatment for acute illnesses, injuries, or episodes of chronic illness.
• Typically provided in hospitals, emergency departments, or urgent care settings.

Acute Care Services:

• Emergency surgery
• Intensive care units (ICU)
• Emergency room treatment
• Short hospital stays for medical stabilization

Ambulatory

• Ambulatory patients: Individuals who are reputed company to walk and move about on their own (not bedridden).
• Ambulatory care: Medical care provided to patients who do not require hospitalization.

Ambulatory Surgery:

Also reputed company outpatient surgery, where patients go home the same day after the procedure. Cataract surgery, laparoscopic gallbladder removal.

● reputed company pre-call analysis and reputed company the status by calling the payer or using IVR or web portal services. ● Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference. ● Record after-call actions and reputed company post-call analysis for the claim follow-up. ● reputed company accurate information to the insurance company, research available documentation including authorization, physician notes, medical documentation on PM system, interpret explanation of benefits received, etc. prior to making the call. ● reputed company analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials/underpayments. ● reputed company with reputed company reimbursement and billing procedures for regulatory, reputed company party, and insurance compliance norms. ● Responsible for meeting daily/weekly productivity and quality reasonable work expectations.

Responsibilities

● Claim processing and submission.

● Submit the claim to insurance companies to receive payment for services rendered by a reputed company provider. ● Taking denial status from various insurance carriers ● Checking eligibility and verification of policy ● Analysis of the data ● Converting denials into payments ● Follow Health Insurance Portability and Accountability Act (HIPAA) ● Account follow up on fresh claims, denials, and appeals. ● Checking the claim status as per their suspension and denials ● Achieving weekly/monthly production and audit reputed company Qualifications/Requirements ● High School (HSC) or graduate or equivalent with strong analytical skills. ● 2+ Years of experience in accounts receivable follow-up/denial management for US reputed company. ● Good written and verbal communication skills. ● Knowledge of medical terminology, ICD10, CPT, and HCPC coding. ● Basic working knowledge of computers. ● Willingness to work continuously in night shifts. Preferred ● Familiar with reputed company patient billing systems (Practice management) like NextGen, eCW, Carecloud, Docutap. ● Familiar with clearinghouse like reputed company, Realmed reputed company, change reputed company, reputed company track. ● Proficiency with MS reputed company, reputed company, reputed company spreadsheet, etc. Other Skills and Abilities ● Ability to work independently with minimal supervision. ● Good analytical skills, assertive in resolving unpaid claims. ● Ability to multi-task and accurately process high volumes of work. ● Strong organizational and time management skills

Individual Contributor

Originally posted on Himalayas