Accounts Receivables Analyst

2 - 5 years

5 Lacs

Posted:1 day ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

  • Conduct in-depth pre-call analysis to determine root causes of unpaid or underpaid claims
  • Contact payers through calls, IVRs, or web portals for claim status, resolution, and escalation when necessary
  • Handle complex denials and aged accounts by identifying trends and recommending corrective actions
  • Document all claim-related activities comprehensively in client software for a compliant and auditable trail
  • Interpret and analyze Explanation of Benefits (EOBs), medical documentation, authorizations, and payer correspondence
  • Prepare and submit appeals for denied or underpaid claims; ensure adherence to payer-specific timelines
  • Monitor and track high-dollar, aged, and specialty claims through to resolution
  • Collaborate with team members to improve workflow efficiency and data accuracy
  • Support audit requests and ensure strict compliance with HIPAA, ERISA, and payer-specific requirements
  • Mentor junior analysts by sharing best practices and supporting performance improvement

Contact Person-Devikala D
Email id-devikala@gojobs.biz

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