RCM AR Specialist

Allscripts(India) LLP, ultimately a subsidiary of Altera Digital Health Inc.,[Altera India]; Pune District; On-site; INR 300,000 - 600,000; Full time

Job summary

Allscripts(India) LLP in Pune, India seeks an Accounts Receivable professional to manage AR recovery for RCMS clients. You will conduct detailed research and prepare appeals to optimize collections, while supporting client services and operations in driving KPI results.

Responsibilities include handling client and carrier calls, timely unpaid claims management, denial resolution, and reconciliation of vouchers and denials, with emphasis on accuracy and compliance.

Responsibilities

• Strong customer service skills for client satisfaction and client AR health answering client, patient and carrier calls; prompt return and follow up to all interactions; prompt response to requests for information
• Timely management of unpaid claims as assigned, through the use of the client s office management/administrator; aging reports; correspondence; Clearinghouse and PM rejections; SharePoint reference/maintenance
• Effectively handle complex payer denials; responsible to ensure that secondary claims are processed and paid
• Monitoring and reconciliation of claims to include: Held vouchers; Unbilled vouchers; Denial trends; Patient balance report; Credits and refunds
• Manage and track information requests to client.
• Answer and resolve all incoming calls and requests in a timely manner.
• Complies with and enforces policies and procedures
• Achieves goals set forth by RCM management regarding error-free work, transactions, processes, productivity and compliance requirements. Specific goals include 1,400 accounts worked per month
• May act as partner for new hires to assist them in learning
• Other duties as assigned

Skills

Accounts Receivable

Customer Service

Healthcare Claims

KPI driven

Tools

SharePoint

Job description

Job Summary

Responsible for the overall recovery and management of accounts receivable as it relates to maximizing accounts receivable collections for RCMS clients. The position involves detailed research and follow-up on medical insurance claims and the careful preparation of appeals and responses to efficiently interact with insurance carriers and resolve the claim. Supports the RCMS BUs overall Operations and Client Services by efficiently and effectively driving the accounts receivable process and achieving KPI results.

Responsibilities

• Strong customer service skills for client satisfaction and client AR health answering client, patient and carrier calls; prompt return and follow up to all interactions; prompt response to requests for information
• Timely management of unpaid claims as assigned, through the use of the client s office management/administrator; aging reports; correspondence; Clearinghouse and PM rejections; SharePoint reference/maintenance
• Effectively handle complex payer denials; responsible to ensure that secondary claims are processed and paid
• Monitoring and reconciliation of claims to include: Held vouchers; Unbilled vouchers; Denial trends; Patient balance report; Credits and refunds
• Manage and track information requests to client.
• Answer and resolve all incoming calls and requests in a timely manner.
• Complies with and enforces policies and procedures
• Achieves goals set forth by RCM management regarding error-free work, transactions, processes, productivity and compliance requirements. Specific goals include 1,400 accounts worked per month
• May act as partner for new hires to assist them in learning
• Other duties as assigned

Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.