Qualicentric
Location
New Delhi | India
Job description
Title:
AR Caller- Analyst/ Sr. Analyst (Physician Billing) Location: Connaught Place, New Delhi Shift: Evening/ Night Shift Company Profile: Offshore Financial Advisory firm catering to the needs of small and mid-size companies. Qualicentric assists clients with Financial Modelling, Fundraising, Budgeting & Forecasting, Financial Reporting, MIS reporting, and accounting activities. Most of our clients are US-based along with presence in other countries like UK & India. Job Brief: We are seeking enthusiastic individuals to join our team as AR Analyst/ Sr. Analyst, providing an exciting opportunity for professionals to advance their careers in US Healthcare Revenue Cycle Management. Responsibilities include verifying insurance details and assisting in the resolution of outstanding claims. This role offers a solid foundation for individuals looking to excel in the dynamic field of US Healthcare. Responsibilities: · Investigate and resolve complex issues related to denied or unpaid medical claims promptly. Utilize in-depth knowledge of US healthcare billing processes to address and overcome challenges. · Conduct proactive follow-up with insurance companies to ensure timely and accurate reimbursement. Employ effective communication and negotiation skills to secure payment for outstanding claims. · Verify and update insurance details, ensuring accurate information for claims processing. Navigate insurance portals and systems efficiently. · Demonstrate expertise in denial management, analysing reasons for denials, and implementing strategies to minimize future occurrences. Collaborate with cross-functional teams for effective resolution. · Ensure strict adherence to healthcare regulations, including HIPAA, and maintain confidentiality of patient information. Stay updated on industry compliance standards. Requirements: · Bachelor s degree in statistics, business, finance, information systems or a related field. · 1-5 years of experience in similar position. · Excellent communication skills, both verbal and written. · Thorough understanding of denial management, medical billing codes, insurance regulations, and healthcare laws · Review, analyse, and monitor RCM metrics to identify areas of improvement. · Conduct research and problem-solving to assist practices in resolving issues promptly. · Demonstrated interpersonal skills for effective collaboration within a team. · Excellent problem-solving skills to identify and resolve issues promptly.Job tags
Salary
