Account Receivable Analyst
TruBridge
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇮🇳 India
Visit company websiteJob Level
JuniorMid-Level
About the role
- Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services
- Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference
- Record after-call actions and perform post-call analysis for the claim follow-up
- Provide accurate information to the insurance company, research available documentation including authorization, physician notes, medical documentation on PM system, interpret explanation of benefits received, etc. prior to making the call
- Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials/underpayments
- Comply with all reimbursement and billing procedures for regulatory, third party, and insurance compliance norms
- Responsible for meeting daily/weekly productivity and quality reasonable work expectations
- Claim processing and submission
- Submit the claim to insurance companies to receive payment for services rendered by a healthcare provider
- Taking denial status from various insurance carriers
- Checking eligibility and verification of policy
- Account follow up on fresh claims, denials, and appeals
- Checking the claim status as per their suspension and denials
- Achieving weekly/monthly production and audit target
Requirements
- 2 Years of mandate experience in AR calling with Acute care/Acute business
- High School (HSC) or graduate or equivalent with strong analytical skills
- 2 Years of experience in accounts receivable follow-up/denial management for US healthcare
- Good written and verbal communication skills
- Knowledge of medical terminology, ICD10, CPT, and HCPC coding
- Basic working knowledge of computers
- Willingness to work continuously in night shifts
Benefits
- Health insurance
- 401(k)
- Paid time off
- Flexible work arrangements
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
accounts receivabledenial managementclaim processingICD10 codingCPT codingHCPC codingdata analysisdocumentationmedical terminologyproductivity tracking
Soft skills
analytical skillscommunication skillsorganizational skillsattention to detailproblem-solvingtime managementadaptabilityteamworkcustomer servicework ethic