Hiring AR Callers, Medical Billing and Denials Management

HealthRecon Connect provides technology-enabled Revenue Cycle Management (RCM) solutions to US healthcare providers. We leverage over 30 years of deep domain expertise, cutting-edge analytics as well as machine learning, Artificial Intelligence and Automated workflows to help improve cashflow, patient outcomes and enable peace of mind for our clients.

Role & responsibilities

AR caller / Senior AR caller /AR collections / Senior AR Collections

• Carry out AR follow up efficiently according to the daily production targets specified
• Generate AR reports, analyze and work based on priority levels
• Download/ verify correspondences related to collection function
• Ensure proper analysis is done before reaching out to insurance representatives and resolve internal gaps.
• Develop AR and Root Cause analysis and share with management for review
• Ensure stipulated paid %s are achieved as expected
• Act as the point of contact for assigned client for internal and external queries
• Ensure QA reports are reviewed, fixed and responded back to the QA teams within 24 hours.
• Enforce company regulatory standards to ensure the area of responsibility is in compliance with HIPPA and ISO standards.
• Share Daily and Weekly assigned reports within given timelines
• Update SOPs in a timely manner and according to the required level
• conduct training to newcomers on the job specific functions

Qualification Criteria:

• Bachelor's degree in finance, Business, or related field
• Minimum 12 months of RCM experience
• Hospital AR (UB04) experience with Hospital Emergency Department/Hospital Medicine experience / Radiology and Anesthesia experience
• Proven experience with practice management systems (such as Advanced MD)
• Ability to perform contract calculations to determine low pay
• Passion for solving problems
• Ability to work with MS Office package
• Good written and verbal communication skills
• Ability to work under pressure
• Tenacity

Work Week:

Monday to Friday

Shift:

Night: 7:30 PM 4:00 AM (IST)

Medical Billing / Senior Medical Billing / Charge Entry / Charge Verification / Charge Reconciliation.

• Production to be carried out efficiently according to the daily production targets specified by management
• Update the allocated batches in the charge tracker accurately
• Download/ verify correspondences related to billing
• Ensure to fix and refile unbilled, and rejections to the carrier on timely manner
• Enter the charge entries or demo entries according to the given TAT
• Perform daily/weekly scanned and electronic charge reconciliation of respective clients
• Ensure QA reports are reviewed, fixed and responded back to the QA teams within 24 hours
• Ensure to responded back to all internal e-mails within the shift time
• Enforce company regulatory standards to ensure the area of responsibility is in compliance with HIPPA and ISO standards
• Daily and Weekly assigned reports to be shared within the given timelines
• Ensure to update SOPs in a timely manner and according to the required level
• Conduct random QA on a percentage decided by the management
• Perform QA daily if allocated and ensure to share QA reports with the relevant personnel
• Ensure QA batch transmission is done on a daily basis
• Production quality to be maintained at 98% accuracy or greater
• Share Daily and Weekly assigned reports within given timelines
• Maintain 100% accuracy in updating the productivity tracker
• Conduct training to newcomers on the job specific functions

Candidate Profile :

• Bachelors degree in Finance, Healthcare, Business, or related field
• At least 1 year experience in Physician Billing or Hosptial Billing
• Specific experience in Hospital RCM with exposure to Emergency Department/Hospital Medicine
• Proven experience with practice management systems (such as Advanced MD)
• Understanding of DRG, Revenue and Condition codes, experience in Anesthesia and Radiology
• Detailed knowledge and expertise across the entire patient revenue cycle continuum
• Passion for solving problems
• Ability to work with MS Office package
• Good written and verbal communication skills
• Ability to work under pressure
• tenacity

Work Week:

Monday to Friday

Shift:

Day: 8:00 AM to 5:00 PM (IST)

Denials Management/ AR Analyst / Senior AR Analyst (Non-Voice process):

• Production to be carried out efficiently according to the daily production targets specified by management
• Review and analyze denied claims to identify trends and root causes.
• Appeal and resubmit denied claims in compliance with payer policies and timelines.
• Follow up with insurance companies to ensure timely adjudication of claims.
• Ensure proper analysis is done before reaching out to insurance representatives and resolve internal gaps.
• Develop AR and Root Cause analysis and share with management for review
• Ensure stipulated paid %s are achieved as expected
• Act as the point of contact for assigned client for internal and external queries
• Ensure QA reports are reviewed, fixed and responded back to the QA teams within 24 hours.
• Enforce company regulatory standards to ensure the area of responsibility is in compliance with HIPPA and ISO standards.
• Share Daily and Weekly assigned reports within given timelines
• Update SOPs in a timely manner and according to the required level
• conduct training to newcomers on the job specific functions

Candidate Profile :

• Bachelors degree in Finance, Healthcare, Business, or related field
• At least 1 year experience in Physician Billing or Hosptial Billing
• Specific experience in Hospital RCM with exposure to Emergency Department/Hospital Medicine
• Proven experience with practice management systems (such as Advanced MD)
• Understanding of DRG, Revenue and Condition codes, experience in Anesthesia and Radiology
• Detailed knowledge and expertise across the entire patient revenue cycle continuum
• Passion for solving problems
• Ability to work with MS Office package
• Good written and verbal communication skills
• Ability to work under pressure
• tenacity

Work Week:

Monday to Friday

Shift:

Day: 8:00 AM to 5:00 PM (IST)

Kindly note candidate must have their Own system/Laptop and Internet to perform the duty

Holiday : US Calendar applicable

Job Location : Remote

Interested candidates kindly send us your updated resume to careers@healthreconconnect.com