Accounts Receivable Analyst - Acute at Computer Programs & Systems, Inc

, , India -

Full Time

Start Date

Immediate

Expiry Date

19 Mar, 26

Salary

0.0

Posted On

19 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Accounts Receivable, Denial Management, Claim Processing, Insurance Verification, Medical Terminology, ICD10, CPT Coding, HCPC Coding, Analytical Skills, Communication Skills, Time Management, Organizational Skills, Multi-tasking, Healthcare Billing Systems, MS Excel, MS Word

Industry

IT Services and IT Consulting

Description

Accounts Receivable Analyst ● Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services. ● Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference. ● Record after-call actions and perform post-call analysis for the claim follow-up. ● Provide accurate information to the insurance company, research available documentation including authorization, physician notes, medical documentation on PM system, interpret explanation of benefits received, etc. prior to making the call. ● Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials/underpayments. ● Comply with all reimbursement and billing procedures for regulatory, third party, and insurance compliance norms. ● Responsible for meeting daily/weekly productivity and quality reasonable work expectations. Responsibilities ● Claim processing and submission. ● Submit the claim to insurance companies to receive payment for services rendered by a healthcare provider. ● Taking denial status from various insurance carriers ● Checking eligibility and verification of policy ● Analysis of the data ● Converting denials into payments ● Follow Health Insurance Portability and Accountability Act (HIPAA) ● Account follow up on fresh claims, denials, and appeals. ● Checking the claim status as per their suspension and denials ● Achieving weekly/monthly production and audit target Qualifications/Requirements ● High School (HSC) or graduate or equivalent with strong analytical skills. ● 1-3 Years of experience in accounts receivable follow-up/denial management for US healthcare. ● Good written and verbal communication skills. ● Knowledge of medical terminology, ICD10, CPT, and HCPC coding. ● Basic working knowledge of computers. ● Willingness to work continuously in night shifts. Preferred ● Familiar with healthcare patient billing systems (Practice management) like NextGen, eCW, Carecloud, Docutap. ● Familiar with clearinghouse like Waystar, Realmed Availity, change healthcare, via track. ● Proficiency with MS Excel, MS Word, google spreadsheet, etc. Other Skills and Abilities ● Ability to work independently with minimal supervision. ● Good analytical skills, assertive in resolving unpaid claims. ● Ability to multi-task and accurately process high volumes of work. ● Strong organizational and time management skills Individual Contributor What’s it like to work for TruBridge? You’ll help connect providers, patients and communities with innovative solutions that create real value by supporting both the financial and clinical sides of healthcare delivery. You’ll be part of a remote team that’s encouraged to push boundaries and look at things differently. And you’ll contribute to supporting providers in delivering the best care possible for their communities. Are you ready to help us clear the way for care? Explore opportunities with TruBridge.

Responsibilities

The Accounts Receivable Analyst is responsible for performing pre-call analysis, maintaining documentation, and processing claims to ensure timely payments from insurance companies. They will also analyze accounts receivable data and follow up on claims, denials, and appeals.