Your Role

- Responsible for working assigned claims and running reports to identify claims that require a follow-up and resolve the denial by taking appropriate action as per Modmed guidelines.
- Ensuring timely follow up to save claims from getting written off due to untimely following up.
- Work on Contractual adjustments and write-off projects.
- Analyze previous notes and actions taken on claims; take the correct action on claims not handled correctly previously and bring that to the knowledge of the Quality Team.
- Identify opportunities to improve follow up process and recommend changes to be added/removed in the Practice Instructions or SOPs with any recent changes at the Payer end.
- Attend trainings to learn new updates, technologies, and techniques; enhancing knowledge of various scenarios and keeping abreast with the new updates is an important requirement for this role.
- Continuously self-audit to ensure quality standards are met.
- Review claim thoroughly and explore all possibilities to get claim resolved prior to assigning claims to any other Modmed or client buckets.
- Perform additional tasks or project work as assigned.

Skills Requirements

- 2+ years of experience as AR Follow-ups (Voice) in Physician RCM is a must




- Sound knowledge of working on Billing scrubbers and CH/Payer Rejections
- Understanding of other related functions in the RCM is required
- Proven experience of positive Cash collected/Resolution rate
- Strong knowledge of Commercial Federal payers, basic Coding concepts CARC codes
- Knowledge of working and resolving Auto, WC , IPAs etc. is required
- Expert in listening and resolving problems
- Ability to interact positively with team members, peer groups, and seniors
- Being proficient in delivering a high-quality outcome is a must
- Capable of grasping new concepts quickly; Able to comprehend various training aids and process documentation
- Excellent written and verbal communication skills
- Strong knowledge of HIPAA guidelines
- Abide by the organizations information security policy and protect the confidentiality, integrity, and availability of all information assets
- Willing to work from the office in India night shift (5:30PM to 2:30AM).

Skills: Compliance with HIPAA regulations, AR Management, Accounts Receivable, Ar Calling, Billing

Experience: 3.00-4.00 Years

📌 RCM AR Analyst (Hyderabad)
🏢 ModMed Technologies India Private Lid
📍 Hyderabad