AR Analyst - Accounts Receivable Analyst Triumph Resource Management

0.0 - 5.0 years

1 - 6 Lacs

nagpur, pune

Work from Office

Responsibilities: Accounts Receivable Management Monitor outstanding payments, track aging accounts, and ensure timely claim follow-ups to prevent revenue delays. Claims Follow-Up Follow up with insurance payers on unpaid or denied claims and resolve rejections through corrections or appeals. Denial Management Analyze and address claim denials, maintain reports, and coordinate with teams to reduce future denials. Payment Posting Accurately post payments, reconcile records, and resolve short or unapplied amounts. Claims Billing Prepare and submit accurate claims daily, maintain billing logs, and verify all submission details. Client Communication Maintain professional communication with clien...

Posted 3 weeks ago

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Medical Claims Review Advisor Cigna

3.0 - 5.0 years

5 - 7 Lacs

Bengaluru

Work from Office

Provides clinical review expertise for high dollar and complex claims, including facility and professional bills. Provides cost containment services by identifying coding and billing errors and insuring application of Medical and Reimbursement Policies. Additionally identifies cases for potential fraud and abuse and makes referrals. Major Job Responsibilities Evaluates medical information against criteria, benefit plan, coverage policies and determines necessity for procedure and refers to Medical Director if criteria are not met Evaluate itemized bills against reimbursement policies Adheres to quality assurance standards Serves as a resource to facilitate understanding of products Handles s...

Posted 5 months ago

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