EMPClaims Hiring for Medical Billing AR Specialist at Remote Full Time

EMPClaims was recently recognized as a Top 10 vendor for RCM Services in the US, and we take pride in the quality of our services. Our customers include large health systems and small medical practices.

We offer you a competitive compensation package along with the opportunity to learn on the job, develop knowledge of the process, and grow your career.

The Senior AR Analyst role who can help us in reviewing the trends and reporting.

Required Skill sets:

• Physician – RCM AR experience – 3 years minimum
• Must be detail oriented, organized, and possess the ability to apply critical thinking skills.
• Must be proficient with the usage of Microsoft Office 365, especially MS Excel for Data Analysis and MS PowerPoint for presenting analyzed data
• Good communication skills and assertiveness to escalate and dispute issues with payors and communicate the trends to Leadership

Roles & Responsibilities:

• Identify trends in denials and other issues being moved to “Client review” buckets on a daily basis
• Weekly reporting on Root Cause issues for AR being moved to Client review buckets and escalate issues that needs Practice’s attention
• Examine denials resulting from non-compliance to Payor billing requirements, work with the Payor to find a resolution, and implement the correction by escalating to Leadership
• Review 120+ AR for collection feasibility and determine adjustments required
• Propose process improvements to address repeated issues or trends
• Apply knowledge of insurance billing information including modifiers, authorization criteria, CPT, ICD- 10 coding and payor specific requirements
• Maintain communication with Payors regarding changes to policies and procedures and communicate the same to Leadership
• Support the development and maintenance of Payor performance metrics (Denial Rate by payor, Gross Collection Rate by payor etc) Goals:
• Maintain the First Pass resolution rate for practices at 90% or above
• Maintain the aging of Client Review AR bucket at less than 10% for 120+ and less than 20% for 90+ AR at all times

Job Types: Full-time, Regular / Permanent

Salary: ₹360,000.00 – ₹540,000.00 per year

Benefits:

• Leave encashment
• Provident Fund

Schedule:

• Fixed shift
• Monday to Friday
• Night shift
• US shift

Application Question(s):

• What RCM software you’re proficient on?
• What can be your target joining date after rolling out the offer?

Experience:

• AR in Medical Billing: 3 years (Required)

Work Location: Remote

Application Deadline: 31/12/2022