R1 RCM
R1 RCM2h ago
Naukri

Analyst || 5 days working || WFO

Gurugram
Full Time
Mid Level

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Responsibilities

Qualifications & Requirements

Experience Level: Mid Level

Full Job Description

Role Objective

The primary objective of this role is to collaborate with U.S. payers to confirm patient eligibility and validate payee information.

Roles and Responsibilities

  • Follow up with payers to ascertain the status of claims.
  • Identify reasons for claim denials and implement effective resolution strategies.
  • Prevent claims from being written off through timely follow-up actions.
  • Possess a strong understanding of billing scrubbers and the ability to make necessary edits.
  • Manage contractual adjustments and work on write-off projects.
  • Achieve a good cash collection and resolution rate.
  • Demonstrate strong calling, probing, and denial analysis skills.

Qualifications

  • Bachelor's degree in any discipline from a recognized educational institution.
  • Proficiency in analytical skills and the use of MS Word, Excel, and PowerPoint.
  • Excellent written and verbal communication skills.
  • Minimum of 12 months of relevant experience.
  • Effective time management skills and the ability to meet deadlines.
  • Willingness to work in a 24/7 environment, including night shifts and outbound calling.

Company

R1 RCM

R1 RCM

Gurugram
Posted on Naukri
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