The Senior Accounts Receivable Analyst performs account review and claims follow-up on outstanding accounts. Analyst is responsible resubmitting claims, contacting insurance companies, analyzing remittances and taking appropriate action on rejections and denials .
Operational Responsibilities:
- Review patient ledgers with outstanding charges and take next best action for follow up to collect balances.
- Verify insurance eligibility and update patient accounts based on client-specific SOPs
- Investigate claims status and next best action for open accounts via available insurance websites.
- Call insurance companies to investigate claims status, identify appeals action and next best action to resolve accounts.
- Identify claim denial trends or provider related issues that delay or reduce reimbursement.
- Meet or exceed targeted productivity levels on a daily/monthly basis
- Perform work with exceptionally high quality. Meet or exceed target quality levels.
- Commitment to work as a member of a team to meet and exceed client-specific SLAs.
- Shall understand and abide by the organizations information security policy and protect the confidentiality, integrity and availability of all information assets.
- Shall report incidents related to security of information to concerned authorities.
What You Will Need :
- Bachelors degree in a related field (BBA, B.Com, BSc, B Tech, etc) from an accredited college or university.
- At least 2 years of experience working in a revenue cycle with at least one year of experience working on A/R follow up processes (voice). Advanced understanding of US healthcare including Medicaid, Medicare, private insurance and basic medical & billing terminology.
- Excellent English language skills and verbal English skills with low to neutral accent.
- Strong organizational, quantitative and analytical skills.
- Strong problem-solving skills
- Excellent keyboarding skills
- Proficiency in Microsoft Office (Word, Outlook, Excel)
