Analyze and manage accounts receivable for patient claims: investigate denials, interpret billing records (EOB, MR, authorizations), check claim status on payer portals, resubmit or transfer claims, and ensure timely follow-up to collect payments meeting client quality standards.
Summary
As an AR analyst in Acurus you have to analyze status of claims for the outstanding balances on patient accounts and taking appropriate actions. Manage A/R accounts by ensuring accurate and timely follow-up. Ensure that the deliverable to the client adhere to the quality standards
What you'll do- Review AR claims, understand the denial reason, resolve the issue and take the claim to closure
- Analyze the accounts allocated in AR Tool and to take appropriate actions
- Research and interpret from the available data in billing software, EOB, MR, authorization and understand the reasons for denial/underpayment/no response
- Check claim status through third party web portals, Insurance websites
- Take corrective actions covering resubmission of claims, transferring to correct payer
- Understand the client requirements and specifications of the project
- Measured based on the payments collected due to AR efforts of the individual
- Any Degree
- A brief understanding on the entire Medical Billing Cycle.
- Minimum 3 Years work experience as an AR analyst in Revenue Cycle Management Process
- Knowledge on Denials management and A/R fundamentals will be preferred
- Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus
- Use of medical billing software will be considered an advantage
- Work Place Chennai
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