Accounts Receivable Analyst Ambulatory

The Accounts Receivable Analyst will perform pre-call analysis, maintain documentation, and record after-call actions. They will also provide accurate information to insurance companies, analyze accounts receivable data, and comply with reimbursement and billing procedures.

Requirements

• Perform pre-call analysis and check the status by calling the payer or using IVR or web portal services.
• Maintain adequate documentation on the client software to send the necessary documentation to insurance companies and maintain a clear audit trail for future reference.
• Record after-call actions and perform post-call analysis for the claim follow-up.
• Provide accurate information to the insurance company, research available documentation including authorization, physician notes, medical documentation on PM system, interpret explanation of benefits received, etc. prior to making the call.
• Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials/underpayments.
• Comply with all reimbursement and billing procedures for regulatory, third party, and insurance compliance norms.
• Responsible for meeting daily/weekly productivity and quality reasonable work expectations.

Benefits

• Generous Paid Time Off
• 401k Matching
• Retirement Plan
• Visa Sponsorship
• Four Day Work Week
• Generous Parental Leave
• Tuition Reimbursement
• Relocation Assistance