R1 RCM

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

Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.

Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: r1rcm.com

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