21 Aug
|
GS Infotech
|
Chennai
21 Aug
GS Infotech
Chennai
AR Analyst Streamlining Medical Revenue 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/: Job Description/: Responsibilities/: Ageing Accounts Receivable Follow/-Up/: Identify unpaid, underpaid, or delayed claims from primary, secondary, and tertiary payers by methodically analysing and working assigned ageing insurance A/R buckets. Denial Management & Root/-Cause Analysis/: Examine claim denial reason codes to find underlying problems such as non/-covered service codes, authorisation failures, medical necessity rejections, or timely filing limits. Claim Appeals & Corrected Resubmissions/: Write official, fact/-based appeal letters, compile clinical and medical data, include the required authorisation papers, and send updated claims to payers through clearinghouses or portal uploads.
Payer Escalation & Direct Communication/: To settle stuck claims, find out the status of adjudication, and seek claim reprocessing, contact business and government insurance agents by phone and through the portal. Underpayment & Contractual Allowance Auditing/: Examine paid claims in relation to agreed/-upon fee schedules to find underpayments, short payments, and erroneous payer write/-offs. Then, take prompt remedial recovery action. Required Skills/: A/R Ageing Analysis & Denial Management Mastery/: Comprehensive proficiency in evaluating ageing reports, deciphering intricate Electronic Remittance Advices /(ERA/) and Explanation of Perks /(EOB/), and handling challenging claim denials. Medical Appeals & Payer Policy Knowledge/: Excellent proficiency in drafting official appeal letters, applying medical necessity principles, navigating government and commercial claim regulations, and adhering to timely fi
📌 AR Analyst Streamlining Medical Revenue (Chennai)
🏢 GS Infotech
📍 Chennai