Job title: Analyst/Sr Analyst
Job description: About Company R1 is the leading provider of technology-enabled RCM services for hospitals, health systems and physician groups. With a flexible engagement approach, R1 seamlessly complements a healthcare organization’s infrastructure, quickly driving
About Company R1 is the leading provider of technology-enabled RCM services for hospitals, health systems and physician groups. With a flexible engagement approach, R1 seamlessly complements a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient’s financial experience. Roles and Responsibility JOB TITLE AR Follow up/cashposting/Medical Billing- Analyst/ Sr. Analyst( R1RCM/953/21-22) Job Category: AR Follow up/Cashposting/Medical Billing Job Type: Full Time Job Location: Hydrabad Reports to (level of category): AM/Team Leader Role Objective( AR Follwup) The accounts receivablefollow-upteam in a healthcare organization is responsible for looking after denied claims and reopening them to receive maximum reimbursement from the insurance companies. Essential Duties and Responsibilities Follow up with the payer to check on claim status Identify denial reason and work on resolution. Save claim from getting written off by timely following up Should have sound knowledge of working on Billing scrubbers and making edits Work on Contractual adjustments & write off projects. Should have good Cash collected/Resolution Rate should have calling skills, probing skills and denials understanding Work in all shifts on a rotational basis No Planned leaves for next 6 months Role Objective(Cashposting) Payers either send an EOB (explanation of benefits) or ERA (electronic remittance advice) towards thepaymentof a claim. The cash/payment posting staff posts thesepaymentsimmediately into the respective patient accounts, against that particular claim to reconcile them Essential Duties and Responsibilities Need to work on payment posting and denial batches Have to work on ERA discrepancies Need to do bank reconciliation Role Objective( Medical Billing) To bill out medical accounts with accuracy within defined timelines and reduce rejections for payers Essential Duties and Responsibilities 24*7 Environment, Open for night shifts Process Accounts accurately basis US medical billing within defined TAT Able to process payer rejection with accuracy within defined TAT Identify process improvement opportunities to help reduce AR days and payer rejections Desired candidate Qualifications Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers’) Good analytical skills and proficiency with MS Word, Excel and Powerpoint (Typing speed of 30 WPM) Good communication Skills (both written & verbal) Skill Set Candidate should be good in Denial Management Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials Ability to interact positively with team members, peer group and seniors.
Location: Hyderabad, Telangana
Job date: Wed, 19 Jan 2022 23:52:47 GMT
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