Urgently Required Experienced Ar Specialists

Job description

Key Responsibilities for AR:

- Review account thoroughly, including any prior comments on the account, EOBs / ERAs / Correspondence, and perform pre-resolution analysis. - Understand the reason for rejection, denials, or no status from the payer. - Work on the resolution of the claim by performing follow-up with the payer using the most optimal method, i.e., calling, IVR, web, or email. - Take appropriate action to move the account towards resolution, including rebilling the claim, sending claims for reprocessing, reconsideration, redetermination, appeal (portal/web, fax, mail), verifying eligibility and benefits, and managing management hand-off with the client and internal teams. - Documentation of all the actions on the practice management system and workflow management system, and maintain an audit trail. - Ensure adherence to Standard Operating Procedures and compliance. - Highlight any global trend/pattern and issue escalation with the leadership team. - Meet the productivity and quality target on a daily/monthly basis. - Upskill by learning new/additional skills and enhancing competencies. Active participation in all process/client-specific training and refresher training.

Requirements:

- Undergraduate / Graduate in any stream with 2 to 4 years of experience in US Healthcare RCM for Account Receivable / Denial Management Resolution. - Fluent communication, both verbal and written. - Good analytical skills, attention to detail, and resolution-oriented. - Should have knowledge about the RCM end-to-end cycle and proficiency in AR fundamentals and denial management. - Basic knowledge of computers and MS Office.