Quality Analyst - AR

6 - 8 years

6 - 8 Lacs

Posted:19 hours ago| Platform: Naukri logo

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Work Mode

Work from Office

Job Type

Full Time

Job Description

  • Review teams production for errors and inaccuracies.
  • Document and publish quality scores.
  • Council and mentor team members to improve their quality scores.
  • Create cheat sheets and reference guides to assist teams in improving quality.
  • Be able to move seamlessly into the AR Analyst role temporarily if the need arises.
  • Identify and report common trends in teams production, denials and any global issues.
  • Maintain production and quality standards declared by the organization.

Requirements:

  • Candidate should be willing to work from Chennai location- Work from office.
  • 5+ Years of experience in US Healthcare RCM in posting transactions and AR Follow-up.
  • Should have a thorough understanding of Provider claim life cycle.
  • Must have thorough knowledge of major insurance payers.
  • Must have thorough knowledge of common denials.
  • Must know standard practices of RCM.
  • Must have understanding of common acronyms and nomenclature in US Healthcare.
  • Should have excellent written and communication skills in English.
  • Must have fair knowledge of common CPT codes, transaction codes and reason codes.

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