01Responsibilities
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Denial Management, Rejection & Claim Follow-Up
Review outstanding insurance balances to identify and resolve issues preventing finalization of claim payment, including coordinating with payers, patients and clients when appropriate.
Analyze and trend data, recommending solutions to improve first pass denial rates and reduce age of overall AR.
Accounts Receivable Specialist that has an "understanding" of the whole accounting cycle / claim life cycle.
Work on Ageing reports and reduce outstanding AR.
Ensure all workflow items are completed within the set turn-around-time within quality expectations.
Able to analyze EOBs and denials at a claim level, in addition they should find trends impacting dollar and leading to process improvements.
Maintain accurate documentation of claim follow-up activities.
Meet productivity and quality targets assigned by the management.
Ensure compliance with HIPAA and company policies.
Desired Candidate Profile: -
Functional knowledge of HIPAA rules and regulations and experience related to privacy laws, access and release of information.
Familiarity with payer websites and their processes.
Solid knowledge and use of the American English language skills with neutral accent.
Proficient in MS Office software; particularly Excel and Outlook.
Proven ability to communicate effectively with all internal and external clients.
Proven ability to use good judgment and critical thinking skills; ability to identify and resolve problems.
Proven efficient and accurate keyboard/typing skills.
Should be a Graduate.
Job Types: Full-time, Permanent
Compensation: 15,000.00 - 70,000.00 per month
Benefits:
Health insurance
Education:
Bachelor's (Preferred)
Experience:
Technical support: 2 years (Preferred)
Language:
English (Preferred)
Work Location: In person .
