Responsible for the overall recovery and management of accounts receivable as it relates to maximizing accounts receivable collections for RCMS clients. The position involves detailed research and follow-up on medical insurance claims and the careful preparation of appeals and responses to efficiently interact with insurance carriers and resolve the claim. Supports the RCMS BUs overall Operations and Client Services by efficiently and effectively driving the accounts receivable process and achieving KPI results.

Responsibilities
Solid customer service skills for client satisfaction and client AR health - answering client, patient and carrier calls; prompt return and follow up to all interactions; prompt response to requests for information
Timely management of unpaid claims as assigned, through the use of the client s office management/administrator; aging reports; correspondence; Clearinghouse and PM rejections; SharePoint reference/maintenance




Effectively handle complex payer denials; responsible to ensure that secondary claims are processed and paid
Monitoring and reconciliation of claims to include: Held vouchers, Unbilled vouchers, Denial trends, Patient balance report, Credits and refunds
Manage and track information requests to client.
Answer and resolve all incoming calls and requests in a timely manner.
Complies with and enforces policies and procedures
Achieves goals set forth by RCM management regarding error-free work, transactions, processes, productivity and compliance requirements. Specific goals include 1,400 accounts worked per month
May act as partner for current hires to assist them in learning
Other duties as assigned

Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.

📌 Rcm Ar Specialist Pune (India)
🏢 Allscripts(India) LLP, ultimately a subsidiary of Altera Digital Health Inc.,[Altera India]
📍 India