The accounts receivable follow-up team in a healthcare organization is responsible for looking after denied claims and reopening them to receive maximum reimbursement from the insurance companies.
Job Description
Essential Duties and Responsibilities:
Follow up with the payer to check on claim status.
Identify denial reason and work on resolution.
Save claim from getting written off by timely following up.
Should have sound knowledge of working on Billing scrubbers and making edits.
Work on Contractual adjustments & write off projects.
Should have good Cash collected/Resolution Rate.
should have calling skills, probing skills and denials understanding.
Work in all shifts on a rotational basis.
No Planned leaves for next 6 months.
Qualifications
Graduate in any discipline from a recognized educational institute.
Good analytical skills and proficiency with MS Word, Excel, and PowerPoint.
Good communication Skills (both written & verbal)
Skill Set
Candidate should be good in Denial Management.
Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials.
Ability to interact positively with team members, peer group and seniors.
Company Profile (for Recruiting Purposes Only)
Short paragraph describing the company
R1 RCM (NYSE: AH) is a leading provider of services and technology to healthcare providers. Our mission is to help our healthcare clients strengthen their financial stability and deliver better care at a more affordable cost to the communities they serve, increasing healthcare access for all. Our distinctive operating model that includes people, process, and sophisticated integrated technology helps our customers realize sustainable improvements in their operating margins and improve the satisfaction of their patients, physicians, and staff. Our customers typically are multi-hospital systems, including faith-based or community healthcare systems, academic medical centers and independent ambulatory clinics, and their affiliated physician practice groups.
R1 RCM offers a continuum of offerings to service our clients' needs. These offerings include: Provider Business Solutions (PBS), which improves the entire revenue cycle of our provider clients, unlike competing services that address only a portion of the revenue cycle or focus solely on cost reductions; Physician Advisory Services ("PAS"), which works closely with the hospital medical staff, case management, and senior leadership to strengthen compliance, limit denials, improve revenue integrity, and improve efficiency; and Population Health Solutions (PHS), which spans the entire healthcare delivery continuum and enables providers to manage the health of their patient populations by delivering higher-quality care while reducing aggregate cost of care.
Seniority level
Executive
Employment type
Full-time
Job function
Business Development and Sales
Industries
Hospitals and Health Care
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