AR Analyst

R.C.M. - Accounts Receivable analyst (AR Anlyst)

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

• 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.

Benefits

• Health insurance
• Leave encashment
• Paid time off
• Provident Fund

Work Location