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AR Analyst
Actively Reviewing
CTB Solutions Pvt Ltd
Job Description
Requirements
Responsibilities:
Responsibilities:
- Analyze and resolve issues related to unpaid medical claims and denied claims.
- Follow up with insurance companies to inquire about claim status and resolve issues.
- Interpret Explanation of Benefits (EOBs) to ensure correct payment, adjustments, and patient responsibility.
- Communicate with providers and patients regarding billing issues, as needed.
- Document all activities related to accounts receivable follow-up in a consistent and comprehensive manner.
- Meet key performance indicators as established by management, such as reducing the number of denied and rejected claims.
- Review and appeal unpaid and denied claims.
- Maintain patient confidentiality and adhere to HIPAA regulations.
- Stay up-to-date with changes in medical coding and billing practices, insurance policies, and healthcare regulations.
- Bachelor's degree in Finance, Business, Healthcare Management, or a related field.
- 1-2 years of experience in medical billing or healthcare, preferred but not necessary.
- Understanding of medical terminology, CPT, ICD-10, and HCPCS coding.
- Proficiency in using medical software systems and Microsoft Office Suite.
- Excellent written and verbal communication skills.
- Detail-oriented with strong analytical and problem-solving abilities.
- Understanding of insurance guidelines, including Medicare and state Medicaid.
- Ability to maintain patient confidentiality and adhere to HIPAA guidelines.
- Ability to work independently and collaboratively within a team environment.
- Able to prioritize and manage multiple tasks simultaneously.
- Strong customer service skills for interacting with patients regarding medical claims and payments.
- Willingness to stay up-to-date with changes in healthcare laws and regulations.
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