Key Responsibilities:
- Contact insurance payers to address claims (both denied and non-denied) after reviewing information from PMS and internal systems, aiming for resolution through payment, adjustments, or self-pay.
- Recognize and suggest process improvements, identify trends and issues, and escalate them to a Supervisor as needed.
- Adhere to workflow documentation, including updating trackers, issue logs, and trend logs according to standard operating procedures (SOPs).
- Participate in all training sessions to enhance understanding of Revenue Cycle Management (RCM).
- Resolve intricate patient account problems by investigating system timeline comments, payer reimbursements, and account transactions.
- Determine which accounts can be resolved by Analysts without requiring additional calls.
- Utilize logical thinking to spot trends and ensure accurate resolution of accounts.
- Identify payer-related issues, lead special projects to compile claim data for reprocessing,
and escalate complex payer issues to the lead billing specialist when necessary.
Requirements
Qualification:
- Bachelor's degree in Accounting, Finance, Business Administration, or a related field preferred.
- Prior experience in accounts receivable or similar roles is advantageous.
- Essential for accurate financial transaction processing.
- Proficiency in accounting software and Microsoft Office Suite.
- Strong verbal and written skills needed for effective interactions.
- Ability to analyse data and resolve billing discrepancies efficiently.
Benefits
What We Offer:
- Competitive salary and comprehensive benefits package.
- Opportunities for professional growth and career development.
- A dynamic and collaborative work workplace.
- Flexible work arrangements to support work-life balance.
📌 AR Associate (Chennai)
🏢 zephyr health care
📍 Chennai
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