RCM Account Receivable Analyst
EMPClaims
- Location
- Ahmedabad, Gujarat, India
- Job type
- Full-time
Required skills
- accounts receivable
- communication skills
About the role
EMPClaims
Website:
empclaims.com
Job details:
R.C.M. - Accounts Receivable analyst
Skill sets:
- Must be detail oriented, organized, and possess the ability to apply critical thinking skills.
- Must be proficient with the usage of Microsoft Office 365, especially MS Excel for Data Analysis and MS PowerPoint for presenting analyzed data
- Physician- Medical Billing experience - 3 years minimum
- Excellent communication skills and assertiveness to escalate and dispute issues with payors and communicate the trends to Leadership
Job Description:
- Examine Denials resulting from non-compliance to Payor billing requirements, work with the Payor to find a resolution, and implement the correction by escalating to Leadership.
- Review 120+ AR for collection feasibility and determine adjustments required.
- Propose process improvements to address repeated issues or trends.
- Apply knowledge of insurance billing information including modifiers, authorization criteria, CPT, ICD-10 coding and payor specific requirements.
- Maintain communication with Payors regarding changes to policies and procedures and communicate the same to Leadership.
- Support the development and maintenance of Payor performance metrics (Denial Rate by payor, Gross Collection Rate by payor etc)
- Maintain the First Pass resolution rate for practices at 90% or above.
- Always maintain the aging of Client Review AR bucket at less than 10% for 120+ and less than 20% for 90+ AR
Requirements:
- Graduate in any stream.
- Good comprehension of and command over English language.
- Good analytical skills.
- Above average logic and reasoning ability.
- Career focused and results oriented
What we offer:
- Health Insurance Coverage up to ₹5 Lakhs
- Subsidized Meal Facility for all employees
- Competitive Incentives based on performance
- 5 Days working Monday - Friday
Click on Apply to know more.
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