Accounts Receivable Analyst - Acute

Accounts Receivable Analyst

● 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 no...