Quality Analyst/AR Analyst/Payment Posting

Opening for Quality Analyst/AR Analyst/Payment Posting

Quality Analyst/AR Analyst/Payment Posting Specialist

Quality Analyst(Day shift):

Key Responsibilities:

• Conduct regular audits of medical billing, and payment posting transactions.
• Identify discrepancies and ensure compliance with healthcare billing regulations.
• Monitor team performance metrics such as accuracy, productivity, and adherence to policies.
• Prepare quality analysis reports and present findings to leads.
• Provide feedback and coaching to team members based on audit findings.
• Collaborate with training and operations teams to implement process improvements.
• Ensure timely documentation and tracking of errors and corrective actions.
• Participate in calibration sessions to align quality standards across teams.

Payment Posting(Day shift):

Key Responsibilities:

• Payment Posting:

  Accurately post payments from insurance companies and patients into the billing system.

• Charge Entry:

  Input charges for medical services and procedures, ensuring accuracy and proper coding.

• Claims Processing:

  Verify and process claims, ensuring compliance with insurance and billing guidelines.

• Reconciliation:

  Balance daily payment batches, addressing discrepancies promptly.

• Data Management:

  Maintain accurate patient billing records, including demographics, insurance details, and payment histories.

• Reporting:

  Generate reports on payment posting and charge entry to identify trends and areas for improvement.

AR Analyst (Day shift):

Key Responsibilities:

• Should have worked as an AR Analyst for min 1 year max 4 years with medical billing
• Good knowledge of revenue cycle and denial management concept
• Positive attitude to solve problems
• Addressing outstanding account receivables
• Submitting appeals in a timely manner
• Perform ageing analysis, understand days in A/R, top reasons for denials and provide reports to clients as needed

Qualifications:

• Minimum 1-4 years of AR Analyst experience.
• Minimum 1-2 years of Payment posting experience.
• Proficiency with billing software and EHR systems.

Interested candidates please contact Saranya Devi(HR)- 7200153996.