AR Analyst / Senior Analyst-(Laboratory)

Exciting opportunity for AR Callers with Laboratory exposure.

We Data Marshall is hiring AR Callers with Laboratory experience folks at our Hyderabad office.

Total experience: 1 + years

Skillset: AR Follow-up, Denial Management, Laboratory -mandatory

Work location: Hyderabad

Mode of Work: Work from Office.

Below provided is the company profile:

Data Marshall is a Healthcare Revenue Cycle Management organization that has provided niche services to Providers and Payers for almost 2 decades. Since our inception, we have strived to expand our domain knowledge and expertise across the healthcare claim life cycle, by exploring a gamut of opportunities and avenues. Data Marshalls core specialization stems from the fact that we possess the experience and expertise spanning the entire life cycle of the claim, and the capability to leverage on the experience to enhance specific process deliverables. Data Marshall has endeavoured to stay ahead of the curve, by constantly and continuously innovating and incubating new service offerings to our clients. Our audit services cater to the under-explored and unaddressed segments in the healthcare sector, adding value to the Hospitals and Health Plans in ensuring accurate claims reimbursement and recovery of millions of incorrectly paid dollars. Contact us to assist in the following essential service areas: Provider Revenue Cycle/Revenue Enhancement Services • Audit • Billing • Clinical Documentation Improvement • Coding • Coding Audit • Credit Balance Overpayment Resolution • Correspondence Letter Defense/Resolution • Denials Management • Eligibility Verification • Follow Up • Pre/Post Systems Conversion Reconciliation/Clean Up • Self-Pay Overpayment Resolution • Underpayment Recovery and More Insurance Payer/TPA Based Services • Appeals/Grievances • Claims Adjudication • Data Entry • Member Enrollments • Out of Network Fee Negotiation Support • Provider Contracting • Provider Credentialing Support • Provider Database Management/Data Maintenance • Risk Adjustment Analytics • Utilization Review and more

http://www.datamarshall.com

Roles and Responsibilities

• Follow up on submitted claims, monitor unpaid claims, and identify underpaid and unbilled claims, ensuring all necessary corrections and documentation are completed.
• Analyze claims and manage denials effectively.
• Review Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) denials, along with patient history notes, to understand and resolve discrepancies in claims.
• Identify claims requiring balance transfers to patients and secondary balances, as well as appropriate financial classifications for further resolution.
• Track and follow up on claims due for future review within the designated time frames.
• Identify global issues impacting single or multiple patient accounts.

Required Experience, Skills, and Qualifications

• 1 to 2 years of Accounts Receivable experience.
• Strong knowledge of denial management concepts is essential.
• Excellent communication skills are required.
• Flexibility to work night shifts is necessary.
• Candidates available for immediate joining or those who can serve a notice.
• Experience in Laboratory AR is an additional benefit.

Competency

• Excellent communication, analytical skills, and logical reasoning.

For more details

Kindly reach out to:

HR Keerthi

Contact: 8639447794

Email: keerthi.kasoji@datamarshall.com