Manage accounts receivable for patient accounts, analyze claims and denials, improve collection processes, and enhance team skills in medical billing.
Summary
As an AR SME you should have end to end knowledge of RCM and Medical Billing. Must be capable of handling the team and analyzing the status of claims for the outstanding balances on patient accounts and taking appropriate actions. Manage A/R accounts by ensuring accurate and timely follow-up. Ensure that the deliverable to the client adhere to the quality standards
What you'll do- Research/Analyze Accounts Receivables
- Interpret Explanation of Benefits (EOB), Remittance Advice and Denials to drive resolution for the open accounts receivable
- Researching the web for resources and regulations that are mandated by the payers for collections
- Collaborate and communicate with internal and external partners and share knowledge
- Identify the training needs for the team members to acquire/enhance required skill sets
- Use all channels available to communicate, collect and resolve open accounts receivables with patients or payers
- Organize data and collections history of a patient accounts to build strong arguments to be used for payer settlement initiatives
- Contributing and improving organization process on collection practices
- Analyzing the workflow to improve process quality and enhance productivity
- Responsible for Development and maintenance of SOP, and other documentation to ensure uniformity across teams and processes
- Any Degree
- A brief understanding on the entire Medical Billing Cycle.
- Minimum 6 months’ work experience as an AR analyst in Revenue Cycle Management Process
- Knowledge on Denials management and A/R fundamentals will be preferred
- Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus
- Use of medical billing software will be considered an advantage
- Work Place Chennai
Top Skills
Cpt Codes
Icd Codes
Medical Billing Software
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