14 Aug
|
GS Infotech
|
Chennai
14 Aug
GS Infotech
Chennai
AR Analyst Root Cause, Deny Review, and Remedy Candidate Application/: Full Name/: Contact Number/: Email Address/: Current Location/: Position Applied For/: Qualification/: Year of Passout/: Candidate Category/: Fresher / Experienced Willingness to Relocate/: Yes / No Total Years of Experience/: /(If applicable/) Current/Last Drawn Salary /(Monthly/Annual/)/: Notice Period/: /: Responsibilities/: Aged Accounts Receivable Recovery &
- Analysis/: Target outstanding claims older than 30, 60, or 90 days for prompt financial resolution by methodically analyzing aging AR records utilizing Excel and billing platforms Claim Denial Management &
- Root Cause Tracking/: Examine denials and rejections of claims, making necessary corrections and quickly resubmitting them.
Payer
Appeals &
- Grievance Execution/: To reverse unlawful payer determinations, draft and submit organized, legally compliant medical appeal letters backed by clinical notes, medical records, and state insurance rules.
Direct Insurance Provider Engagement/: Audit processing problems and expedite payment timeframes by interacting with insurance claim adjusters via web portals and professional outbound calls. EOB, ERA, and Adjustment Auditing/: Examine both manual and electronic remittance advice /(ERA/) Benefits documents are explained in detail, confirming that contractual write/-offs and allowances correspond to insurance contracts.
Patient Billing
Support &
- Account Adjustments/: Respond to intricate patient billing questions about out/-of/-pocket balances, copayments,
and deductibles, creating structured payment plans as needed. Clearinghouse &
- Charge Scrubber Exception Clearance/: Keep an eye on the daily electronic clearinghouse records to identify and address front/-end claim modifications before they become official insurance denials.
Measures of Revenue Performance Reporting/: Create and update significant monthly summaries of collections tracking, maintaining historical cash collection ledgers, modifications, and write/-off metrics within tracking spreadsheets for management evaluations.
Required Skills/: Thorough RCM &
- Healthcare System Mastery/: In/-depth operational understanding of clearinghouse procedures, standard billing formats, and the medical billing lifecycle.
Medical
Coding &
- Terminology Fluency/: Standard claim denial modifiers and a functional grasp of the ICD/-10/-CM, CPT, and HCPCS coding systems.
Payer
Guideline &
- Policy Literacy/: Excellent knowledge of coordination of benefits regulations, timely filing limits, Medicare, Medicaid, and major commercial insurance coverage policies.
Analytical Problem
Isolation &
- Investigation/: Outstanding deductive reasoning abilities to decipher intricate, multi/-layered denial codes and link them to particular provider enrollment, registration, or authorization mistakes.
Experience/: 0 to 3 yrs Salary/: Best in the Industries Immediate Joiner Mostly Preferred Interested Candidates Contact the HR ASAP Warm Regards, HR /- Maria
📌 AR Analyst Root Cause, Deny Review, and Remedy (Chennai)
🏢 GS Infotech
📍 Chennai