Urgent Opening -AR Analyst/Senior AR Analyst (PA/SPA)- Day Shift

Value Rcm Solutions; Kolkata District; On-site; INR 300,000 - 540,000; Full time

Job summary

Value Rcm Solutions in India seeks an AR specialist to manage timely follow-up on outstanding receivables, resolve denial reasons, and optimize medical claims reimbursement. The role involves analyzing denial trends, ensuring payer guideline adherence, and addressing bulk issues with escalation when needed.

Candidates should have strong communication, analytical skills, and good MS Office proficiency, with familiarity in US healthcare regulations.

Qualifications

• Excellent communication skills.
• Willing to work in day shift.
• Good computer skills including Microsoft Office.
• Excellent analytical skills.
• Well versed with US healthcare rules.

Responsibilities

• Responsible for timely follow-up actions against outstanding Accounts Receivable based on denial reasons.
• Identify and resolve medical claims billing and reimbursement issues to maximize collections and minimize AR.
• Denial trend analysis and adherence to payer reimbursement guidelines; escalate bulk issues as needed.
• Handling EDI rejections.
• Contact Insurance companies in US on behalf of doctors for claim status, eligibility verification and follow-up on AR.

Skills

Communication

Analytical skills

US healthcare rules

MS Office

Job description

Role & responsibilities

• Responsible for timely and appropriate follow-up actions against outstanding Accounts Receivable based on denial reasons.
• To identify and resolve medical claims billing and reimbursement issues and aimed at maximizing collections and minimizing accounts receivables.
• Responsible for denial trend analysis, Payer reimbursement guidelines and resolving bulk issues or elevate to management for further review.
• Handling EDI rejections
• If required, contacting Insurance companies (in US) on behalf of doctors/physicians for Claim Status, Eligibility verification and follow-up on outstanding Accounts Receivable

Preferred candidate profile

• Excellent Communication skills
• Should be willing to work in Day Shift.
• Good computer skills including Microsoft Office.
• Excellent analytical skills
• Should be well versed with rules and regulations of US Healthcare.