Responsible for resolving cases. Responsible for tracking and following up on unpaid or rejected medical claims. They must ensure that claims are paid correctly and in a timely manner.
Review the claim allocated and check status by calling the payer or through IVR /Web Portal
Ask a series of relevant questions depending on the issue with the claim and record the responses
Prepare call notes, initiate or execute the corrective measures by sending necessary documents to Payers
Record the actions and post the notes on the customer’s revenue cycle platform.
Use appropriate client specific call note standards for documentation
Qualifications and Education Requirements
· Should have good Verbal and Written communication Skills.
· Should have worked as an AR Analyst for min 1 year – max 2 years with medical billing service providers
· Valuable knowledge of revenue cycle and denial management concept
· Positive attitude to solve problems
· Ability to absorb client’s business rules
· Knowledge of generating aging report
· Graduate degree in any field
· Willingness to work as per Business requirement.
Perform ageing analysis, understand days in A/R, top reasons for denials and provide reports to clients as needed
Maintains accurate records of all claim submissions, payment details, and follow-up activities. They must also ensure compliance with HIPAA regulations and other industry standards.
Be in the centre of ethical behaviour and never on the side-lines