Job Description

: Account Receivable Analysist (USA Calling Process) Company Overview: We are a leading HR Consulting firm with a focus on staffing/recruitment service. We are currently seeking a highly motivated and dedicated individual for one of the reputed company, as a Process/Sr. Process Associate for USA based calling process. This role offers an exciting opportunity to contribute to company\xe2\x80\x99s growth and success in the US Healthcare medical billing domain. Job Responsibilities:

• Insurance Claim Follow-up: Initiate and manage follow-up activities with insurance companies to ensure the timely processing and payment of claims.
• Claims Verification: Review and verify claim details, including patient demographics, insurance information, medical codes, and supporting documentation, to ensure accuracy and compliance with insurance requirements.
• Denial Analysis: Analyze claim denials and rejections, identify the root causes, and take necessary actions to resolve outstanding issues and resubmit claims for reconsideration.
• Payment Posting: Accurately post insurance payments, adjustments, and write-offs to patient accounts in the billing system, maintaining a high level of data integrity.
• Reconciliation: Perform regular reconciliation of accounts receivable balances with insurance remittances, identifying discrepancies and taking appropriate steps for resolution.
• Appeal Process: Prepare and submit appeals for denied claims, including gathering supporting documentation, writing appeal letters, and tracking the progress until resolution.
• Insurance Aging Analysis: Monitor and analyze accounts receivable aging reports, identify delinquent accounts, and implement effective collection strategies to minimize outstanding balances.
• Communication: Communicate effectively with insurance companies, healthcare providers, and internal departments to resolve billing and payment issues, clarify information, and escalate complex cases as needed.
• Compliance: Ensure compliance with healthcare regulations, insurance policies, and billing guidelines, maintaining confidentiality and adhering to industry best practices.
• Documentation and Reporting: Maintain accurate and organized documentation of all claim-related activities, including claim status updates, appeal records, and other relevant information. Generate reports on claim statuses, aging, and key performance indicators as required.

Requirements:

• Graduate/ undergraduate.
• 0-3 years\xe2\x80\x99 experience in insurance follow-up within the healthcare industry.
• Excellent attention to detail and accuracy in reviewing and verifying claim information, insurance policies, and patient data.
• Strong analytical and problem-solving skills with the ability to identify issues, propose solutions, and follow through to resolution.
• Effective written and verbal communication skills.
• Demonstrated ability to work collaboratively in a team setting, sharing knowledge, and supporting colleagues.

If you possess good command over English language and excellent analytical skills, we invite you to apply for the position of Accounts Receivable Associate. Send your updated resume to: career@eligenceconsultants.com http://www.eligenceconsultants.com Job Type: Full-time Salary: 915,000.00 - 930,000.00 per month Benefits:

• Food provided
• Health insurance
• Provident Fund

Schedule:

• Monday to Friday
• Night shift

Supplemental pay types:

• Performance bonus

Ability to commute/relocate:

• Mohali, Punjab: Reliably commute or planning to relocate before starting work (Required)

Education:

• Bachelor\'s (Preferred)

Experience:

• AR Follow up (Preferred)

Language:

• English (Required)

Shift availability:

• Night Shift (Required)