Senior AR Caller - Denial Management - Hyderabad, TG - 2041071
Avella
Hyderabad
6d ago

Primary Responsibilities :

  • Review outstanding insurance balances to identify and resolve issues preventing finalization of claim payment; including coordinating with payers, patients and clients when appropriate
  • Analyze and trend data, recommending solutions to improve first pass denial rates and reduce age of overall AR
  • Accounts Receivable Specialist that has an "understanding" of the whole accounting cycle / claim life cycle
  • In-depth working knowledge of the various applications associated with the workflows
  • Ensure all workflow items are completed within the set turn-around-time within quality expectations
  • Able to analyze EOBs and denials at a claim level in addition they should find trends impacting dollar and #'s, leading to process improvements
  • Perform other duties as assigned
  • Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and / or re-assignment to different work locations, change in teams and / or work shifts, policies in regards to flexibility of work benefits and / or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment).
  • The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

    Required Qualifications :

  • College diploma or equivalent
  • 12 months and above experience in healthcare accounts receivable required (Denial Management)
  • Strong knowledge of medical insurance (HMO, PPO, Medicare, Medicaid, Private Payers)
  • Strong knowledge and use of the American English language skills with neutral accent
  • Communicates effectively with all internal and external clients
  • Uses good judgment and critical thinking skills; ability to identify and resolve problems
  • Proficient in MS Office software; particularly Excel and Outlook
  • Efficient and accurate keyboard / typing skills
  • Possess a strong work ethic and a high level of professionalism with a commitment to client / patient satisfaction
  • Functional knowledge of HIPAA rules and regulations and experience related to privacy laws, access and release of information
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