AR Analyst Initial Role in Health Care Billing Job Description Duties/: Payer Trend Analysis & Denial Diagnosis/: Map systemic, high/-volume rejection patterns by insurance companies by analysing complicated remittance data, Explanation of Benefits /(EOBs/), and Electronic Remittance Advices /(ERAs/) over thousands of claims. Ageing Portfolio Auditing & Remediation/: To lower outstanding balances, conduct thorough audits of ageing schedules, isolate past backlogs, and create focused collection initiatives. Payer Contract Underpayment Audits/: Find chronic underpayments, inaccurate network discounts, or processing problems by comparing paid claim allocations with agreed fee schedules. Cross/-Functional Process Optimisation/: Remove denial triggers at their source by converting complicated financial data into practical feedback for the charge/-entry, coding, and front/-end eligibility teams. Payer Policy Tracking & Compliance Auditing/: To update internal rule engines,
keep track of and record modifications to US commercial and government payer regulations. Focus Skills/: Expert ability to extract, sort, filter, and synthesise large transaction lines from clearinghouses and practice management software is known as advanced revenue cycle data mining. Healthcare Contract Metrology/: A practical understanding of relative value units /(RVUs/), capitation settings, typical and customary price structures, and managed care contracts. Denial Root/-Cause Forensic Logic/: To identify systematic collection obstacles, a thorough understanding of standard ANSI denial codes, adjustment codes, and clearinghouse validation standards is required. Macro/-Level US Billing Literacy/: In/-depth knowledge of Medicare regulations, compliance frameworks, cross/-over claim pathways, and the whole healthcare revenue cycle. Apply now to become an integral part of our growing team/ With Regards, HR /- Maria
📌 AR Analyst Initial Role in Health Care Billing (Chennai)
🏢 GS Infotech
📍 Chennai
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