Senior Analyst

Job description

Role Objective: 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. • Good communication Skills (both written & verbal) 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.