Role & responsibilities
Manage Accounts Receivable (AR) by following up on outstanding insurance and patient claims to ensure timely reimbursement.
Perform Payment Posting by accurately posting insurance and patient payments, adjustments, write-offs, and reconciliations into the billing system.
Handle Denial Management by reviewing denied claims, identifying root causes, correcting errors, submitting appeals, and ensuring maximum claim recovery.
Verify Patient Eligibility and Advantages to confirm insurance coverage, copayments, deductibles, and authorization requirements before services are rendered.
Process Prior Authorizations by obtaining approvals from insurance companies for procedures, medications, and specialty services.
Submit clean claims electronically and monitor claim status to minimize rejections.
Resolve claim edits, rejections, and billing discrepancies by coordinating with insurance payers and healthcare providers.
Maintain compliance with HIPAA regulations, payer guidelines, and medical billing standards.
Prepare AR reports and monitor key performance indicators (KPIs) such as aging reports, denial rates, and collection trends.
Communicate effectively with insurance representatives, healthcare providers, and patients to resolve billing and payment-related issues.
Preferred candidate profile
Perks and perks
Monthly Incentives
📌 Medical Billing And Accounts Receivable Analyst Noida
🏢 Furtherance Flora Solutions
📍 Noida
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