Roles and Responsibilities
✓ Follows up on submitted claims, monitors unpaid claims, and identifies underpaid and not billed claims with appropriate corrections and documentation.
✓ Analyzing a claim or denial management.
✓ Reviews EOB/ERA denials and Patient history note to understand and resolve denial on a claim.
✓ Identify claims that need balance transfer to patient and secondary balances or appropriate financial class for further resolution.
✓ Should be able to track and follow up on claims for future date follow-up within the expected time frame.
✓ Identifying Global Issue impacting a single or multiple patient accounts.
✓ Identifying scenarios with the global issue for the entire patient account or multiple patient accounts.
Required Experience, Skills, and Qualifications
✓ Should have Minimum 1 year of AR Experience is mandatory.
✓ Should have strong knowledge in denial management concept.
✓ Excellent Communication.
✓ Should be flexible with night shift timing.
✓ Immediate joiners / 30days notice period is acceptable
