12 Sep
|
GS Infotech
|
Chennai
12 Sep
GS Infotech
Chennai
AR Analyst Expertise in Fiscal Integrity Job Description/: Responsibilities/: Accounts Receivable Portfolio Analytics & Ageing Reduction/: Identify high/-risk accounts, prioritise high/-dollar claims, and implement focused recovery strategies to speed up cash flow by conducting in/-depth quantitative analysis on outstanding A/R portfolios across and ageing buckets. Complex Denial Root/-Cause Analysis & Prevention/: Identify systemic clinical, coding, registration, or billing errors analyse trends in EOB/ERA claim denials, CARC/RARC reason codes, and clearinghouse rejections and collaborate with cross/-functional teams to put preventive front/-end controls in place. High/-Value & Complex Claim Appeals Management/: Compile clinical documentation and coding justification while conducting research, preparing, and overseeing complex, multi/-level appeals for high/-value claims rejected for medical necessity, experimental procedures, authorisation lapses, level/-of/-care disputes, and timely filing limits. Payer Contractual Underpayment Auditing/:
Determine trends in payer underpayment, non/-compliance with fee schedules, or incorrect line/-item reductions, and file variance recovery claims by comparing posted insurance payments and contractual allowances against contractual fee schedules and payer master agreements. Payer Trend Analysis & Escalation Management/: Monitor policy updates, payer/-specific adjudications, and payment delays organise formal escalation meetings with state insurance commissions or payer provider relations representatives for systemic claims processing delays. Experience/: 0 to 3 yrs Education/: Any Basic Degree If Interested Please do Send your CV along with you Informations as below to Mail 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 Curren
📌 AR Analyst Expertise in Fiscal Integrity (Chennai)
🏢 GS Infotech
📍 Chennai