Work on Account Receivables (unpaid claims, denials) etc, check insurance details (Checking online insurance Eligibility, Benefits and Pre-Authorizations verifications, Co pay entries etc.
Transmitting claims to Clearing House for pre-editsEOB and ERA PostingPreparing of Patient Statements, insurance paper claims, appeal LettersPerforming Audits on Data & Voice and providing constructive feedbacks to users on errorsPreparing and Maintaining Team’s Quality Score card.
Analyzing the root cause for errors and preparing Corrective and Preventive actionWith good knowledge of MIS and Business IntelligenceExcellent written and oral communication skills.
Exellent knowledge with MS Excel AR QA with a minimum of 5 years’ experience in RCM.Excellent END TO END knowledge of the RCM process specialized in AR.
Hands on experience in Billing, Denial Management, and ICD-10 coding.