1 - 2 years

3 - 4 Lacs

Posted:1 week ago| Platform: Naukri logo

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Work Mode

Remote

Job Type

Full Time

Job Description

AR Analyst

Job Summary:

Key Responsibilities:

  • Analyze and review denied claims to identify root causes and patterns.
  • Work on denial resolution by coordinating with insurance companies and internal teams.
  • Prepare and submit corrected claims or appeals with appropriate documentation.
  • Ensure claims are processed efficiently by identifying and implementing corrective measures.
  • Monitor accounts receivable aging and prioritize follow-ups to ensure timely recovery.
  • Maintain accurate and up-to-date records of all claim actions, outcomes, and communications.
  • Provide regular updates to management regarding denial trends, recovery performance, and process improvements.

Key Skills and Requirements:

  • 1-2 years of experience in AR analysis and denial management in the healthcare domain.
  • In-depth knowledge of U.S. healthcare insurance, claims adjudication processes, and denial reasons.
  • Excellent analytical skills to identify denial patterns and recommend solutions.
  • Strong verbal and written communication skills for effective coordination with payers and internal stakeholders.
  • Proficiency in working with billing software, denial management tools, and MS Office applications.
  • Ability to work night shifts and meet productivity and quality metrics.

Preferred Qualifications:

  • Familiarity with CPT, ICD codes, and medical billing terminologies.

Prior experience in handling complex claims and appeals processes

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