Accounts receivable Analyst - Chennai
1 day ago
Job description
Accounts Receivable Analyst- Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services.
- Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference.
- Record after-call actions and perform post-call analysis for the claim follow-up.
- Provide accurate information to the insurance company, research available documentation including authorization, physician notes, medical documentation on PM system, interpret explanation of benefits received, etc. prior to making the call.
- Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials/underpayments.
- Comply with all reimbursement and billing procedures for regulatory, third party, and insurance compliance norms.
- Responsible for meeting daily/weekly productivity and quality reasonable work expectations.
- Claim processing and submission.
- Submit the claim to insurance companies to receive payment for services rendered by a healthcare provider.
- Taking denial status from various insurance carriers
- Checking eligibility and verification of policy
- Analysis of the data
- Converting denials into payments
- Follow Health Insurance Portability and Accountability Act (HIPAA)
- Account follow up on fresh claims, denials, and appeals.
- Checking the claim status as per their suspension and denials
- Achieving weekly/monthly production and audit target
- Graduate or equivalent with strong analytical skills.
- 2+ Years of experience in accounts receivable follow-up/denial management for US healthcare.
- Good written and verbal communication skills.
- Candidate should be willing to work from Chennai location - Work from Office
- Candidate should have experience in Acute Hospital Billing projects - Rual Health, Acute Care, SNF nursing etc.
- Knowledge of medical terminology, ICD10, CPT, and HCPC coding.
- Basic working knowledge of computers.
- Willingness to work continuously in night shifts.
- Familiar with healthcare patient billing systems (Practice management) like NextGen, eCW, Carecloud, Docutap.
- Familiar with clearinghouse like Waystar, Realmed Availity, change healthcare, via track.
- Proficiency with MS Excel, MS Word, google spreadsheet, etc.
- Ability to work independently with minimal supervision.
- Good analytical skills, assertive in resolving unpaid claims.
- Ability to multi-task and accurately process high volumes of work.
- Strong organizational and time management skills
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