Remote
· 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.)· Maintain the First Pass resolution rate for practices at 90% or above· Always maintain the aging of Client Review AR bucket at less than 10% for 120+ and less than 20% for 90+ AR
Requirements:· Graduate in any stream.· Good comprehension of and command over English language.· Good analytical skills. Above average logic and reasoning ability.· Career focused and Result oriented.
