Posted:1 day ago|
Platform:
On-site
Full Time
R.C.M. - Accounts Receivable analyst Skill sets : Must be detail oriented, organized, and possess the ability to apply critical thinking skills. Must be proficient with the usage of Microsoft Office 365, especially MS Excel for Data Analysis and MS PowerPoint for presenting analyzed data Physician - Medical Billing experience - 3 years minimum Excellent communication skills and assertiveness to escalate and dispute issues with payors and communicate the trends to Leadership Job Description: Examine Denials resulting from non-compliance to Payor billing requirements, work with the Payor to find a resolution, and implement the correction by escalating to Leadership Review 120+ AR for collection feasibility and determine adjustments required Propose process improvements to address repeated issues or trends Apply knowledge of insurance billing information including modifiers, authorization criteria, CPT, ICD-10 coding and payor specific requirements Maintain communication with Payors regarding changes to policies and procedures and communicate the same to Leadership Support the development and maintenance of Payor performance metrics (Denial Rate by payor, Gross Collection Rate by payor etc) Maintain the First Pass resolution rate for practices at 90% or above Always maintain the aging of Client Review AR bucket at less than 10% for 120+ and less than 20% for 90+ AR Requirements: Graduate in any stream. Good comprehension of and command over English language. Good analytical skills. Above average logic and reasoning ability. Career focused and Results oriented. Job Types: Full-time, Permanent Benefits: Health insurance Leave encashment Paid sick time Paid time off Provident Fund Schedule: Fixed shift Monday to Friday Night shift Ability to commute/relocate: Thaltej, Ahmedabad, Gujarat: Reliably commute or planning to relocate before starting work (Required) Education: Bachelor's (Required) Shift availability: Night Shift (Required) Work Location: In person
EMP Claim Solutions Inc
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