Openings For AR Analyst, Payment Posting , Charge Entry .

Job Description

Dear Candidates, We are hiring medical billing executive for Chennai location Domain: Medical Billing Process: AR Analyst, Payment Posting, Charge & Demo Designation: Executive, Senior Executive Experience: 1 Yrs to 6 Yrs Salary: As per norms Location: Chennai (Guindy) Work Mode: Work From Office Required Skills: Demo and Charge Entry: Access and download super bills and face sheets from client file server Track and maintain the status log Pull the patient in Client software using the name or DOB If patient not found, Demo has to be created using the face sheet Need to check the eligibility status for the patient insurance Charges have to be keyed according to the client protocol All the queries should be maintained in the log and client has to be updated by EOD. Payment Posting: Should be experience of below 4 year. Should have good typing skill. Should be Strong in reviewing EOB'S. Should be trained in working both Manual Posting and Auto Posting (835 Remits) Should have the knowledge to identify denial codes (RARC & CARC) with denial reason & Correspondence. Should have analytical skill to post the checks to the correct patients. Should have knowledge in Patients payments. Should have knowledge Offset and Refund. Should have knowledge in Recoupment and Over Payment/Under Payments. Should have knowledge in Sequestration and Interest payment/Penalty payments. Should have knowledge in Cross Over (Piggy Bag). Should have known about Capitation Agreement Payments. Should have known about Patients Responsibility (Copay, Coinsurance & Deductible) Should have known about PAYMENT FORMULAS Should have know about the Participating and Non-Participating Provider. Have to know about HSA and HRA payments Have to know about the different between Paid to Patient and Paid to Provider Should have known about Small Balance Write Off Should have known about the Adjustment/Write Off scenario, if patient is having Medicaid as secondary. Should have known about Workers Comp” and “No Fault” Ar Analyst : Clear the rejections Check whether the response is received in a timely manner Check process dashboard on time; if any rejection found Resolve the global issues working with the process and inform the client Generate Insurance Collection summary report grouping by Insurance and sub-grouping. Work on the denial bucket claims Review EOB, post the denials and take appropriate action on the denials. Resolve the denied claims Update the practice specific denial count & dollar in the spreadsheet Interested candidates can directly reach out to us via Whatsapp or through direct call Contact Person: Rishi Mobile Number: 8610529763 Regards Rishi HR Team Qway Technologies