AR Associate

TIM Consultants Pvt. Ltd.; Guduvancheri; On-site; INR 300,000 - 450,000; Full time

Benefits offered by this job

Competitive remuneration

Annual performance-based bonus

Standard industry benefits

Relocation package

Job summary

TIM Consultants Pvt. Ltd. is hiring an AR Associate for a Voice Healthcare process. The selected candidate will resolve claims through reviews and corrective actions while addressing AR inventory.

Qualifications include a university degree and 4 years of AR follow-up experience. The position offers competitive remuneration, performance bonuses, and relocation packages for eligible candidates.

Qualifications

• 412 months – 4 years of Physician/Facility AR follow-up experience.
• CRCE/CRCP/CRCS certification will be an added advantage.

Responsibilities

• Resolve outstanding facility/physician AR through reviewing denials and taking corrective actions.
• Address and resolve assigned AR inventory while adhering to specific rules.
• Utilize web-based resources or phone calls to identify root causes for claims non-payment.
• Concise documentation of reviews and actions taken on claims.
• Follow up on claims post providing adequate time for adjudication.

Skills

Good analytical ability

Logical thought process

Education

University graduate

Job description

We are hiring for one of the US Healthcare company name AGS Heathcare, They are basically hiring for a Voice Helathcare process.

Job Description

ROLE & RESPONSIBILITIES

As an AR Associate your role will be to:

• Resolve outstanding facility/physician AR through reviewing the denial posted on the service billed, follow up transactions done post the denial being posted, identify the root cause for the denial and then take corrective actions to resolve the claim. Key responsibilities include:
  • Claim resubmission for claims not on file or post identifying the appropriate to be billed
  • Corrected claim resubmission post verification of benefits/charge corrections.
  • Resolve rejection edits and resubmit the claim
  • Submission of additional documentation to enable adjudication of the claim as requested by the payer
  • Submit appeals contesting the reason provided for denying the service rendered with justification for the appeal, with supporting documentation being submitted
  • Determine the next responsible payer post adjudication of the claim and transfer balance after determining that the payer has adjudicated as per client contract and contractual allowance taken
  • Recommend timely filing or Appeal limit exceeded claims for write-off/adjustment
• Address and resolve AR inventory assigned while adhering to client specifics, payer specifics and compliant with State and Federal rules and the organization’s Acceptable Usage policy
• Utilize web-based payer resources or phone calls to the payer to identify the root cause for non-payment/delayed adjudication and take corrective action
• Concise documentation of review done, action taken on the claim, along with appropriate tracking stamps like claim #, call reference # along with worked date and initials
• Identify and elevate trends that are impacting resolution of claims submitted to a payer and suggest solutions to submit a clean claim
• Follow up on claims resubmitted/appeals submitted post providing adequate time for payer adjudication/reconsideration

Qualifications

ACADEMIC AND PROFESSIONAL BACKGROUND

• University graduate with an average aptitude score
• 412 months – 4 years of Physician/Facility AR follow-up experience
• CRCE/CRCP/CRCS certification will be an added advantage

Additional Information

COMPETENCIES, SKILLS AND OTHER REQUISITES

• Good analytical ability
• Logical thought process

  COMPENSATION AND BENEFITS - Competitive remuneration + annual performance-based bonus + standard industry benefits. Relocation package, per company policy will apply for candidates outside the office base city.