Hospital (HB) AR Analyst/Senior Analyst
Location: Mohali
Salary Range: INR 2,50,000 5,00,000
Job Overview: The AR Analyst is an integral part of Coronis Health’s success and future. Our Clients count on us to sustain their mission, vision, and values. You will be a key part in these partnerships by resolving issues and securing claim payment.
Responsibilities and Duties:
- Accounts receivable analysts are responsible for monitoring all aspects of the collection of outstanding debts owed to the company.
- Review outstanding claims to determine what action needs to take place and make status calls to insurance companies
- Request claims to be reprocessed where necessary or prepare and submit corrected claims to the insurance companies for payment
- Review delinquent accounts and initiate appropriate collection action including telephone calls and correspondence to patients
- Update demographic and payer related information obtained from the Insurance Rep
- May correct errors including misapplied payments/adjustments and applying account credits
- Prepare refund requests for management approval
- Responsible for the generation and mailing of claims
- Work payer rejects and denials
- Support management on special projects
- Maintain a high level of customer satisfaction as reflected on patient satisfaction surveys and other measurement tools
Possible interactions with customers directly resolving outstanding debt or billing issues, including in evaluating the likelihood of (or a timeline for) repayment
Skills and Competencies:
- Should possess excellent verbal and written communication skills.
- Should be competent enough to use computer systems, software, and calculators.
- Should possess good communication skills and must be able to handle and resolve issues of patients and insurance payers.
- Should be comfortable to be a part of the team and work in a team environment.
- Should be able to prioritize the tasks and handle multiple situations.
- Should have a problem-solving aptitude and ready to work on resolving discrepancies.
- Should be able to maintain patient confidentiality as per the HIPAA (Health Insurance Portability and Accountability Act of 1996).
- Positive attitude and excellent learning skills
Requirements/Qualifications:
- At least 1-year previous Hospital Billing & Follow-up experience.
- Previous experience managing Hospital/Facility Accounts Receivable, Denials, or Appeals
- Previous experience working on Commercial, BCBS, WC/NG, Medicare and Medicaid Payers
- Intermediate computer knowledge (email, spreadsheets, word processing, video chat, etc.).
- Familiarity working in Clearinghouses, DDE, and Payor Websites.
- Working knowledge of Revenue Codes, TOB, DRGs, Insurance Plans, Condition codes, POA Inpatient, 72 Hours Rule, Global Period, Payment methodology, Modifiers and Outpatient Claims.
- Ability to work collaboratively in an office or virtual work environment.