16 Aug
|
GS Infotech
|
Chennai
16 Aug
GS Infotech
Chennai
AR Analyst for Medical Financial Affairs Job Description Duties/: Portfolio Aging Analytics & Trend Isolation/: Analyze outstanding amounts by insurance category, provider, and age category; run daily, weekly, and monthly accounts receivable age reports. Systemic Denial Root/-Cause Diagnosis/: Examine systemic claim rejection waves to determine whether errors are caused by backend clearinghouse rules, clinical documentation omissions, front/-end registration issues, or credentialing lapses. High/-Value & Complex Claim Resolution/: Manage complex appeal chains, contract modifications, and high/-value disputes directly; gather clinical notes, medical necessity charts, and payer policy documents to ensure maximum compensation. Payer Behavior & Underpayment Tracking/: To find and flag systematic insurance underpayments or inaccurate write/-offs, compare Electronic Remittance Advices with contractual fee schedules. Operational Workflow Optimization/: To enhance recovery velocity, assign specific,
high/-probability claim files to frontline AR Callers and translate intricate financial data patterns into meaningful follow/-up actions. Focus Skills/: Advanced RCM Analytics & Portfolio Diagnostics/: Deep expertise in evaluating end/-to/-end healthcare revenue cycles, estimating collection percentages, and doing root/-cause evaluations on medical aging trends. Mastery of Denial Frameworks & Payer Policy/: Thorough knowledge of Claim Adjustment Reason Codes /(CARCs/), Remittance Advice Remark Codes /(RARCs/), and localized coverage determinations /(LCD/NCD/) across government and private pay/-structures. Multi/-Platform Medical Billing Software Navigation/: Command of major enterprise health records /(EHR/) and practice management technologies /(such as Epic, eClinicalWorks, Allscripts, AdvancedMD, NextGen, or Kareo/). Medical Coding & Modifier Application Knowledge/: Practical experience with ICD/-10/-CM diagnostic logic, evaluation and management /(E&M;/) guidelines, CPT proce
📌 AR Analyst for Medical Financial Affairs (Chennai)
🏢 GS Infotech
📍 Chennai