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TruBridge logo
TruBridge

Clear the way for care.

Accounts Receivable Analyst

Accounts ReceivableAccounts ReceivableFull TimeRemoteMid LevelTeam 1,001-5,000H1B No SponsorCompany SiteLinkedIn

Location

India

Posted

97 days ago

Salary

0

Seniority

Mid Level

High School2 yrs expEnglish

Job Description

Accounts Receivable Analyst

TruBridge

• 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. • Analysis of the data. • Converting denials into payments. • Follow Health Insurance Portability and Accountability Act (HIPAA). • 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.

Job Requirements

  • 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.

Benefits

  • Willingness to work continuously in night shifts

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