Role Objective:

The accounts receivable follow-up team in a healthcare organization is responsible for looking after denied claims and reopening them to receive maximum reimbursement from the insurance companies.

Essential Duties and Responsibilities:

- Follow up with the payer to check on claim status.

- Identify denial reason and work on resolution.

- Save claim from getting written off by timely following up.

- Should have sound knowledge of working on Billing scrubbers and making edits.

- Work on Contractual adjustments & write off projects.

- Should have valuable Cash collected/Resolution Rate.

- should have calling skills, probing skills and denials understanding.

- Work in all shifts on a rotational basis.

- No Planned leaves for next 6 months.

Qualifications:

- Graduate in any discipline from a recognized educational institute.

- Good analytical skills and proficiency with MS Word, Excel, and PowerPoint.

- Good communication Skills (both written & verbal)

Skill Set:

- Candidate should be good in Denial Management.

- Candidate should have knowledge of Medicare; Medicaid & ICD & CPT codes used on Denials.

- Ability to interact positively with team members, peer group and seniors.

📌 Senior Analyst - RCM (Noida)
🏢 R1 RCM
📍 Noida