Posted:1 day ago| Platform: Shine logo

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Job Type

Full Time

Job Description

Role Overview: You will be responsible for following up on submitted claims, monitoring unpaid claims, and identifying underpaid and not billed claims with appropriate corrections and documentation. Additionally, you will analyze claim or denial management, review EOB/ERA denials and Patient history notes, and identify claims that need balance transfer to patients and secondary balances for further resolution. It will be your duty to track and follow up on claims for future date follow-up within the expected time frame, as well as identifying global issues impacting single or multiple patient accounts and scenarios with global issues for entire patient accounts or multiple patient accounts. Key Responsibilities: - Follow up on submitted claims - Monitor unpaid claims - Identify underpaid and not billed claims with appropriate corrections and documentation - Analyze claim or denial management - Review EOB/ERA denials and Patient history notes - Identify claims needing balance transfer to patients and secondary balances - Track and follow up on claims for future date follow-up within the expected time frame - Identify global issues impacting single or multiple patient accounts - Identify scenarios with global issues for entire patient accounts or multiple patient accounts Qualifications Required: - Minimum 1 year of AR Experience is mandatory - Strong knowledge in denial management concept - Excellent communication skills - Flexible with night shift timing - Immediate joiners / 30 days notice period is acceptable,

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