AR - Denial Management | Physician Billing

ARStrat LLC; Bengaluru; On-site; Full time

Job description

AR - Denial Management | Physician Billing

Job Category: Executive

Requisition Number: ARDEN002041

Description

About GetixHealth

GetixHealth provides hospitals, clinics, university medical centers, and other healthcare facilities across the United States with comprehensive revenue cycle management (RCM) services.

Our services are customized to the needs of our client and can either include all facets of the front and back office revenue cycle or a mixture of these services, including but not limited to: medical coding and billing, claims management, insurance eligibility services, medicaid/medicare specialized services, and self-pay and bad debt collections.

Position Summary

Responsible for following up with insurance companies and patients to ensure timely and accurate reimbursement for healthcare claims. The role involves reviewing outstanding claims, identifying issues or denials, initiating corrective actions, and maintaining detailed documentation of all interactions. Positions play a key role in optimizing the revenue cycle by reducing aging accounts, minimizing denials, and improving overall cash flow.

Key Responsibility

• Meet Quality and productivity standards.
• Contact insurance companies for further explanation of denials & underpayments.
• Should have experience working with multiple denials.
• Take appropriate action on claims to guarantee resolution.
• Ensure accurate & timely follow up where required.
• Should be thorough with all AR cycles and AR scenarios.
• Should have worked on appeals, AR follow up, refiling and denial management.

Role / Responsibilities

• Understand the client requirements and specifications of the project.
• Ensure that the delivery to the client adheres to the quality standards.
• Must be spontaneous and have high energy level.
• A brief understanding of the entire medical billing cycle.
• Must possess good communication skills with neutral accent.
• Must be flexible and should have a positive attitude towards work.
• Must be willing to work from office.
• Abilities to absorb client business rules.