Senior Analyst - RCM

Role Objective:

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.

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.