Accounts Receivable Analyst

1 - 5 years

0 Lacs

Posted:21 hours ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

As a Medical Bill Reviewer at Davies North America, you will play a crucial role in accurately reviewing and adjudicating provider bills in the Corrus computer system according to state Workers Compensation Fee Schedule rules. Your responsibilities will include: - Entering compensation fee schedules and other relevant information into the system - Ensuring accurate data entry and adjudication of provider bills with satisfactory volume and error ratio - Applying guidelines and provider reimbursement contract amounts to achieve maximum cost savings - Validating DRGs and utilizing fee schedules, online documents, and client instructions for bill review - Researching usual and customary/fee schedule applications for appropriate reimbursement To excel in this role, you should possess: - Minimum of one-year medical terminology/medical office experience - Typing speed of 60+ wpm/10-key by touch with high accuracy - Ability to produce 120 bills per day with an accuracy rate of 95%+ - Previous experience in specific states Workers Compensation Fee Schedule, CPT, ICD-10, HCPCS coding - Familiarity with provisions of other state WC programs, particularly in FL, GA, CA, SC, NC, VA, AL, and TN - Proficiency in Microsoft Office Suite - Strong communication skills, both verbal and written - Excellent time management, organization, and documentation skills - Ability to work independently with minimal supervision and as part of a team - High attention to detail and problem-solving skills - Discretion with sensitive and confidential information - Proficiency in English About Davies: Davies North America is a specialist professional services and technology firm that collaborates with leading insurance, highly regulated, and global businesses. With a global team of over 8,000 professionals operating across ten countries, including the UK & the U.S., Davies has experienced significant growth over the past decade. The company focuses on providing professional services and technology solutions across the risk and insurance value chain, emphasizing excellence in claims, underwriting, distribution, regulation & risk, customer experience, human capital, digital transformation & change management.,

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