29 Aug
|
GS Infotech
|
Chennai
29 Aug
GS Infotech
Chennai
AR Analyst Expert in Financial Assurance Job Description The main "Revenue Recovery Anchor, Denial Resolution Specialist, Insurance Escalation Engine & Cash Flow Guardian " for our medical billing and Revenue Cycle Management RCM operations is the AR Analyst in Medical Billing Accounts Receivable Follow/-Up, Denial Management, Claim Appeals, Insurance Escalations & Revenue Recovery Specialist. Your main responsibility is to actively analyse ageing accounts receivable A/R, look into claim denials, draft high/-conviction insurance appeals, and negotiate directly with payers to obtain timely reimbursement while RCM directors and billing managers set macro financial strategies, client service level agreements SLAs, and overall ageing targets. As the "Guardian of Cash Flow Realisation, Denial Elimination, Ageing Reduction, and Payer Compliance, " you assume direct execution responsibility for reducing bad/-debt write/-offs and liquidating outstanding insurance sums. Key Duties Ageing Accounts Receivable Follow/-Up/: Identify unpaid, underpaid, or delayed claims among 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 including non/-covered service codes, medical necessity rejections, authorisation failures, or timely filing limits. Claim Appeals & Corrected Resubmissions/: Write qualified, fact/-based appeal letters, compile clinical and medical records, include the required authorisation documentation, and send updated claims to payers via portal uploads or clearinghouses. PayerEscalation & Direct Communication/: To resolve stuck claims, find out the status of adjudication, and seek claim reprocessing, contact business and government insurance representatives by phone and portal enquiries. Underpayment & Contractual Allowance Auditing/: Examine paid claims in comparison to agreed/-u
📌 AR Analyst Expert in Financial Assurance (Chennai)
🏢 GS Infotech
📍 Chennai