09 Aug
|
GS Infotech
|
Chennai
09 Aug
GS Infotech
Chennai
AR Analyst With Strong Claims Audit Skills Our healthcare revenue cycle management RCM division 's "Financial Intelligence Architect " and "Denial Strategy Specialist " is the Accounts Receivable AR Analyst. Your main goal is to maximize cash flow collection velocities by analyzing complicated aging portfolios, identifying systemic insurance denial trends, and developing data/-driven remedies. As the "High/-Level Revenue Recovery Expert, " you go beyond simple transactional calls to create structural appeal tactics, do in/-depth root/-cause analysis on claim blockages, and direct AR callers toward high/-yield accounts.
At the core of our financial operations, this position mitigates significant cash flow risks such as increasing days sales outstanding DSO, write/-off leaks, insurance bad debt, and timely reporting limit forfeitures.
Responsibilities Systemic Trend Analysis/: To find recurrent, high/-value denial patterns across particular insurance payers, medical specialties, or clearinghouse nodes, conduct thorough audits of aging AR ledgers. Root/-Cause Resolution Planning/: Work with front/-end medical coding, eligibility, and charge/-entry cells to permanently eradicate errors by investigating the root failure pathways behind complicated medical denials.
Complex
Appeals & Dispute Architecture/: Create and carry out highly structured formal appeals for complicated denials, such as conflicts involving retroactive contracts,
experimental treatment blocks, or medical necessity.
Call Strategy Direction/: Create targeted calling priorities and scripts for the line/-side AR Caller team to achieve maximum yield by segmenting accounts using monthly age sheet analysis.
Payer Variance Analysis/: To find underpayments, overpayments, or unlawful contractual write/-offs, track and audit paid claim lines against stipulated fee schedule matrices.
Skills/: Advanced RCM Matrix Knowledge/: Proficient operational control over US healthcare reimbursement systems, including intricate payer arrangements such as ERISA rules, commercial insurance, Medicare, Medicaid, and workers ' compensation.
Advanced Denial Diagnostics Mastery/: Perfect technical literacy to map long/-term avoidance measures by decoding Remittance Advice Remark Codes RARC and Claim Adjustment Reason Codes CARC.
Statistical Data Processing Fluidity/: Excellent ability to use statistical functions in spreadsheet programs Google Sheets, Microsoft Excel, such as pivot tables, nested formulas, and VLOOKUPs, to summarize ledgers worth millions of dollars.
Medical Code Alignment Intuition/: Excellent cross/-referencing and validation skills between billing modifiers, procedure codes CPT/HCPCS, and diagnostic codes ICD/-10/-CM. We invite you to apply and explore this exciting prospect Warm Regards, HR /- Maria
📌 AR Analyst With Strong Claims Audit Skills (Chennai)
🏢 GS Infotech
📍 Chennai