AR Analyst

Position: AR Analyst

Job Description

After patient transactions have been properly coded, create billing batches

Review information from the patient''s file on system chart

Verify insurance coverage

Bill per procedure and appropriate contract

Verify procedures and check modifiers

Calculate correct fee and process billing transactions

Experience working in EClinical work software/ Kareo

The Biller demonstrates general knowledge of billing practices and maintains departmental standards relating to insurance claims processing, charge entry and billing functions

This role is also responsible for providing support to other departments within the NGBS related to billing functions, including communicating claim issues to departmental management for further discussion with payor representatives and other key stakeholders as needed and as applicable

Provides support for the revenue cycle departments (as applicable: payment posting, coding and accounts receivable (AR) follow up) related to administrative duties as needed

Assists with knowledge sharing, payor and department training, and provides support to other team members as advised by the manager and/or supervisor

Train new employees in billing, posting and AR

Resolves routine insurance billing inquiries and problems within departmental standards

Follows established departmental workflows within the electronic health record system appropriate work queues in response to correspondence/reports/data/requests received

Processes financial/insurance correspondence received associated to billing functions

Meets departmental productivity and quality standards

Completes claim edits timely, compliantly, and without errors

Documents clear, concise and complete notes in system for each account worked

Identifies claim processing issues and general billing trends

Notifies supervisor and/or manager regarding trends to avoid further delay in claims processing

Demonstrates understanding of fundamentals of all payers, including Medicare, Medicaid and commercial payers, and applicable revenue cycle operations

Maintains strict confidentiality of patients, employees and hospital information at all times

Ensures protection of private health and personal information

Adheres to all Health Insurance Portability and Accountability Act (HIPAA)

Ensures claims are submitted within payor deadlines and reports barriers to claim submission to management

Completes billing functions within established departmental standards including billing related work queues and workflows to ensure claims are billed accurately, compliantly, and timely

Resolves basic edits, rejections, and unresolved/no response insurance claims

Processes actions to resolve clearinghouse billing, rejections, and eligibility related errors to ensure timeliness of charge/claim submission

Monitors and processes all ‘no response’ claims for timely resolution of services within established work queues

Where applicable, submits accurate adjustments based on billing guidelines and departmental policies, contract requirements, or levels of authority

Remains current on billing guidelines and regulations of various payers and/or specialty practices as directed by the supervisor and/or manager

MINIMUM QUALIFICATIONS

Education: Bachelor's Degree

5+ years experience in Billing , Charge entry and Payment Posting.

3+ years experience in AR (Preferred)

1+ years experience working with ECW software

Strong skills in CMS and insurance specific guidelines for billing

Job Types: Full-time, Permanent

Pay: ₹25,000.00 - ₹45,000.00 per month

Benefits:

• Health insurance
• Leave encashment
• Provident Fund

Application Question(s):

• How many years of experience do you have as an AR Analyst?
• What is your current salary package and expected salary?
• How many days is your notice period? Are you an immediate joiner?
• Are you willing to relocate to Chennai?
• Do you have excellent communication skills?