The Accounts Receivable Associate will perform analyses on accounts receivable, handle pre-call preparations, and maintain documentation for insurance claims. Responsibilities include calling payers for status checks, documenting interactions, and ensuring accurate information is provided to customers. The role also requires researching and interpreting benefits, as well as identifying reasons for underpayment and denial.
- Perform pre-call analysis and check status by calling the payer or using IVR or web portal services
- Maintain adequate documentation on the client software to send 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 product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, 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
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