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+ A
Job Type: Full-time
Pay: ₹28,000.00 - ₹50,000.00 per month
Benefits:
Health insurance
Leave encashment
Paid sick time
Provident Fund
Experience:
AR Analyst: 1 year (Required)
Work Location: In person
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