Roles and Responsibilities

· Reviewing system notes.

· Reviewing the claims in depth to understand current state.

· Use the payment calculator to obtain the expected reimbursement.

· Take necessary steps like re-billing or taking adjustments or moving to patient responsibility bucket or sending medical records to payers or dropping claims to paper.

· After analysis if an account needs a calling effort, then, a clear note to be placed in excel or work assignment tool with proper action code for the AR calling team to work.

· Providing information to expediate claim processing.

· Attaching appropriate documentation (i.e., OP note, invoice, etc.) 

· Reviewing claims to ensure fields are complete and accurate.

· Maintaining daily record of activities.

· Using AR assignment thru excel or System to manage the daily accounts to be worked.

· Prioritizing accounts based on high dollar amount and days in AR. Some time based on escalation specified accounts would be given to work.

 Requirements

· A minimum of two years of AR Analyst or 4 years of payment posting experience

· High school diploma or equivalent

· Knowledge of commonly used medical coding and billing terms and concepts.

· Detail oriented, strategic thinking, investigative skills.

Ability to work in a team-oriented environment