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Description
Company Description Saviour Nest Solutions provides technology-enabled end-to-end Revenue Cycle Management solutions to US healthcare providers. With over 15 years of domain expertise, the company utilizes AI, conditional BOTs, cutting-edge analytics, and RPA workflows to enhance revenue and cash flow for healthcare billing. Our innovative solutions are designed to improve financial performance and operational efficiency for healthcare providers. Role Description This is a full-time remote role for an AR/Sr. Accounts Receivable Analyst - RCM (US Healthcare). The Analyst will be responsible for managing and optimizing the revenue cycle processes. Their responsibilities include processing claims, following up on outstanding AR, resolving denials, and ensuring accurate billing. AR Associates also analyze claim rejections, understand the reasons for rejections, and reprocess claims for payment. Daily tasks include analyzing accounts receivable data, bucket wise aging, identifying and resolving discrepancies and follow-ups, also ensuring compliance with all relevant regulations. Qualifications Experience in Accounts Receivable and Collections within the US healthcare sector Understanding of medical billing codes, insurance policies, HIPAA and RCM cycle Experience in managing accounts receivable, following up on outstanding payments, and resolving denials Ability to communicate effectively with insurance companies, patients, and clients Proficiency in using computer software for claim processing, data entry, and reporting Strong analytical skills and familiarity with data analysis tools (PMS & EHR) Proficiency in Revenue Cycle Management, including EDI rejections and denials management Excellent communication and problem-solving skills Ability to work independently and remotely Experience with RPA workflows, AI, and data analytics is a plus Bachelor's degree in Healthcare Administration, related field or in any stream Responsibilities Investigate and resolve denied claims, including identifying reasons for rejections and resubmitting them. Contact insurance companies and patients to follow up on outstanding payments and ensure timely reimbursement. Ensure that accounts receivable are accurately reconciled and maintained. Prepare and maintain status reports on accounts receivable, including outstanding claims and denial rates. Communicate with clients, providing updates on claim status and addressing inquiries (If needed). Meet client-specific productivity goals related to claim processing and collections. Ensure that all deliverables meet quality standards. If you are ready to take on this exciting opportunity and your skills align with the requirements, we encourage you to apply today. This role requires working in the US Shift (EST) with the work location being India (Work From Home🏡). Please note that only candidates whose skills match the job description will be considered. Show more Show less
