AR Analyst Streamlining Medical Revenue

AR Analyst Streamlining Medical Revenue Candidate Application: Full Name: Contact Number: Email Address: Current Location: Position Applied For: Qualification: Year of Passout: Candidate Category: Fresher / Experienced Willingness to Relocate: Yes / No Total Years of Experience: (If applicable) Current/Last Drawn Salary (Monthly/Annual): Notice Period: Job Description: Responsibilities: Ageing Accounts Receivable Follow-Up: Identify unpaid, underpaid, or delayed claims from primary, secondary, and tertiary payers by methodically analysing and working assigned ageing insurance A/R buckets. Denial Management & Root-Cause Analysis: Examine claim denial reason codes to find underlying problems such as non-covered service codes, authorisation failures, medical necessity rejections, or timely filing limits. Claim Appeals & Corrected Resubmissions: Write official, fact-based appeal letters, compile clinical and medical data, include the required authorisation papers, and send updated claims to payers through clearinghouses or portal uploads. Payer Escalation & Direct Communication: To settle stuck claims, find out the status of adjudication, and seek claim reprocessing, contact business and government insurance agents by phone and through the portal. Underpayment & Contractual Allowance Auditing: Examine paid claims in relation to agreed-upon fee schedules to find underpayments, short payments, and erroneous payer write-offs. Then, take prompt remedial recovery action. Required Skills: A/R Ageing Analysis & Denial Management Mastery: Comprehensive proficiency in evaluating ageing reports, deciphering intricate Electronic Remittance Advices (ERA) and Explanation of Benefits (EOB), and handling challenging claim denials. Medical Appeals & Payer Policy Knowledge: Excellent proficiency in drafting official appeal letters, applying medical necessity principles, navigating government and commercial claim regulations, and adhering to timely filing requirements. Medical Billing Software & Clearinghouse Command: Expertise in using clearinghouse gateways and top healthcare platforms. Persuasive phone and written communication skills for successfully negotiating with insurance representatives and escalating delayed claims are examples of tenacious communication and negotiation skills. Experience: 0 to 3 yrs Salary: Best in the Industries Immediate Joiner Mostly Preferred Interested Candidates Contact the HR ASAP Warm Regards, HR - Maria