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0-1 years
Not Disclosed
25 Dec. 2, 2024
Job Description
Job Type: Full Time Education: B.Sc./M.Sc./B.Pharm/M.Pharm/Life science Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Job Title: AR Associate

Department: Revenue Cycle Management (RCM)

Job Location: [Location]

Reporting To: Team Lead / Supervisor


Role Description Overview:

The AR Associate is responsible for managing day-to-day activities related to denial processing, claims follow-up, and customer service in the revenue cycle management process.


Key Responsibilities:

Claims and Denials Management:

  • Review emails and notifications for updates related to claims or payer guidelines.
  • Contact insurance carriers to resolve claim issues, document communication details, and update the system and spreadsheets accordingly.
  • Process denial responses efficiently and ensure corrective action is taken to minimize future denials.

Reporting and Documentation:

  • Update production logs and ensure accurate documentation of claims status.
  • Prepare and maintain detailed status reports for tracking and performance monitoring.

Performance and Productivity:

  • Understand client requirements and project specifications to meet expectations.
  • Ensure targeted collections are met on a daily and monthly basis.
  • Adhere to productivity and quality standards within the stipulated timeframes.

Quality and Escalation:

  • Deliver work that meets the client’s quality standards consistently.
  • Identify potential issues in the claims process and escalate them to the immediate supervisor promptly.
  • Actively follow up on pending claims to ensure timely resolution.

Job Specification:

Education:

  • Any graduate with a strong understanding of revenue cycle management and claims processing.

Experience:

  • Prior experience in claims follow-up, denial management, or customer service in the healthcare domain is preferred.

Skills and Competencies:

  • Excellent communication skills (written and verbal).
  • Strong analytical and problem-solving abilities.
  • Proficiency in relevant software and tools for claims management.
  • Ability to work independently while maintaining a collaborative approach with the team.

Shift Details:

  • General Shift / Flexible Working Hours

Work Mode:

  • Work From Office (WFO)

This role requires a detail-oriented and proactive professional with the ability to meet performance goals while contributing to the success of the revenue cycle process.