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Quality Analyst- AR Calling

3 years

0 Lacs

Hyderabad, Telangana

Posted:4 days ago| Platform: Indeed logo

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Skills Required

healthcare coding cpt code modifiers communication excel filtering

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On-site

Job Type

Job Description

Job Title: Quality Analyst - Account Receivables
Years of Experience: Above 3 Years
Shift Timings: Night Shift (7:00 PM to 4:00 AM)
Location: Hyderabad, Telangana
Education Qualification:
Any graduate

Subject Knowledge:
  • US Healthcare Domain Knowledge
  • Prior QA experience will be an added advantage
  • Knowledge of Federal/Commercial/WC Payor Requirements
  • Understanding of Provider Information & Patient Information as it impacts claim resolution
  • Knowledge of Clearing House Rejections/Denials and its resolution
  • Knowledge of Payor Denials and Resolution
  • Knowledge of Appeals Process - Knowledge of Appeals Process - Form types/Documents related to Appeals, Online Appeals
  • Basic coding knowledge - ICD/CPT, E/M codes , Code Series. In-depth understanding of the usage of Modifiers in Physician Billing
  • Working Knowledge of Charge Entry, Payment Posting, Coding as it relates to impact on Claim Resolution

Skills pertaining to the position:
  • Communication Skills, Analytical Skills
  • Feedback Skills
  • Excel Skills - Pivoting, Filtering, VLOOKUP, decently able to present on excel
  • PPT Skills

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