Senior Analyst - RCM

R1 RCM; Dadri; On-site; INR 250,000 - 420,000; Full time

Job summary

R1 RCM is seeking an Accounts Receivable follow-up professional to manage denials, follow up on claim status with payers, and drive resolutions for maximum reimbursement. The role requires strong denial management skills and familiarity with Medicare, Medicaid, and ICD/CPT codes.

Candidate will work in a healthcare setting, handle billing edits, contractual adjustments, and contribute to cash collections. Graduates with analytical skills and MS Office proficiency are encouraged to apply.

Qualifications

• Graduate in any discipline.
• Good analytical skills.
• Proficiency with MS Word, Excel, and PowerPoint.

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.
• Sound knowledge of billing scrubbers and edits.
• Work on contractual adjustments and write-off projects.
• Maintain good cash collection and resolution rate.
• Develop calling and probing skills and understand denials.
• Work in all shifts on a rotational basis.

Skills

Denial Management

MS Word

Excel

PowerPoint

Education

Graduate degree

Tools

MS Word

Excel

PowerPoint

Job description

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.

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.