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.