Client Partner for Accounts Receivable - Claims Tracking

Job Description

Follow up with insurance companies on denied claims through internal / client workflows

Inspect patient documentation including authorization, nursing notes, medical documentation on client's systems, etc. and interpret the explanation of benefits ahead of conducting follow up

Work towards optimizing key metrics such as days in A / R and collections rate, while keeping accurate records of all actions taken, insurance documentation and call notes to maintain a clear audit trail

Analyze accounts receivable data to understand reasons for underpayment, denials and excessive days in A / R and document these using appropriate codes

Job REQUIREMENTs

To be considered for this position, applicants need to meet the following qualification criteria

Fluent verbal communication skills for outbound calling

Strong knowledge of denials management and A / R fundamentals

Willingness to work continuously in night shifts

Basic working knowledge of computers.

Qualifications

1-4 years of experience in AR follow-up / denial management for US healthcare

Knowledge of healthcare terminology and ICD / CPT codes

Familiarity with popular medical billing software packages will be considered a plus. We will provide training on any client-specific software to be used.