Medical Billing Ar Quality Analyst

JOB DESCRIPTION

Work on Account Receivables (unpaid claims, denials) etc, check insurance details (Checking online insurance Eligibility, Benefits and Pre-Authorizations verifications, Co pay entries etc.)

Transmitting claims to Clearing House for pre-edits

EOB and ERA Posting

Preparing of Patient Statements, insurance paper claims, appeal Letters

Performing Audits on Data & Voice and providing constructive feedbacks to users on errors

Preparing and Maintaining Teams Quality Score card.

Analyzing the root cause for errors and preparing Corrective and Preventive action

With good knowledge of MIS and Business Intelligence

Excellent written and oral communication skills.

Exellent knowledge with MS Excel

QUALIFICATIONS:

AR QA with a minimum of 5 years experience in RCM.

Excellent END TO END knowledge of the RCM process specialized in AR.

Hands on experience in Billing, Denial Management, and ICD-10 coding.