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Premium Employer

Modernizing Medicine

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3.3

based on 10 Reviews

55 Modernizing Medicine Jobs

RCM AR Analyst

ModMed

3.3

based on 10 Reviews

3-4 years

Hyderabad / Secunderabad

1 vacancy

RCM AR Analyst

Modernizing Medicine

posted 3mon ago

Job Role Insights

Fixed timing

Key skills for the job

Medical Coding Cloud Computing Healthcare Medical Billing Auditing Information Security

+ 2 more

Job Description

The Accounts Receivable Analyst is a key position within the ModMed India Operations. Analysts will be assigned to a group of practices under one or multiple specialties and are responsible for taking the appropriate actions to resolve claims with insurance balances that have no response or are being denied. Analysts will report to the RCM AR Lead.

Your Role

Responsible for working assigned claims and running reports to identify claims that require a follow-up and resolve the denial by taking appropriate action as per Modmed guidelines.
Ensuring timely follow up to save claims from getting written off due to untimely following up.
Work on Contractual adjustments and write-off projects.
Analyze previous notes and actions taken on claims; take the correct action on claims not handled correctly previously and bring that to the knowledge of the Quality Team.
Identify opportunities to improve follow up process and recommend changes to be added/removed in the Practice Instructions or SOPs with any recent changes at the Payer end.
Attend trainings to learn new updates, technologies, and techniques; enhancing knowledge of various scenarios and keeping abreast with the new updates is an important requirement for this role.
Continuously self-audit to ensure quality standards are met.
Review claim thoroughly and explore all possibilities to get claim resolved prior to assigning claims to any other Modmed or client buckets.
Perform additional tasks or project work as assigned.

Skills Requirements

2+ years of experience as AR Follow-ups (Voice) in Physician RCM is a must
Sound knowledge of working on Billing scrubbers and CH/Payer Rejections
Understanding of other related functions in the RCM is required
Proven experience of good Cash collected/Resolution rate
Strong knowledge of Commercial Federal payers, basic Coding concepts CARC codes
Knowledge of working and resolving Auto, WC , IPAs etc. is required
Expert in listening and resolving problems
Ability to interact positively with team members, peer groups, and seniors
Being proficient in delivering a high-quality outcome is a must
Capable of grasping new concepts quickly; Able to comprehend various training aids and process documentation
Excellent written and verbal communication skills
Strong knowledge of HIPAA guidelines
Abide by the organizations information security policy and protect the confidentiality, integrity, and availability of all information assets
Willing to work from the office in India night shift (5:30PM to 2:30AM).

ModMed in India Benefit Highlights:

High growth, collaborative, transparent, fun, and award-winning culture
Comprehensive benefits package including medical for you, your family, and your dependent parents.
The company supported community engagement opportunities along with a paid Voluntary Time Off day to use for volunteering in your community of interest
Global presence, and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office based roles and remote availability,
Company-sponsored Employee Resource Groups that provide engaged and supportive communities within ModMed

ModMed Benefits Highlight:

At ModMed, we believe it s important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits, including:

Comprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution,
401(k): ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep.
Generous Paid Time Off and Paid Parental Leave programs,
Company paid Life and Disability benefits, Flexible Spending Account, and Employee Assistance Programs,
Company-sponsored Business Resource Special Interest Groups that provide engaged and supportive communities within ModMed,
Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning ,
Global presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability for some roles,
Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters.