AAA SURGERY CENTER

Rohtak, Haryana

AR calling monitors the receivables and their current status and ensures the claim process remains within the organization's control. This includes proper submission of patient claims with no inaccuracies or omissions.

They must be accurate the first time. The legal and financial risks of upcoding or undervaluation are enormous. Surgical specialty coding covers the most complex portion of the CPT codes and presents procedural, modifier, and diagnostic coding challenges.

Responsible for follow up on outstanding Accounts Receivable in timely manner.To prioritize the pending claims for calling from the aging bucket.2.Should be able to convince the claims company (payers) for payment of their outstandingclaims & Negotiation.3.Review provider claims that have not been paid or denied by insurance companies.4.Handling patients billing queries and updating their account information.5.Post cash and write off the contractual adjustments accordingly while working on theaccounts.6.Meeting daily/weekly and monthly targets set for an individual.7.Good knowledge of Appeals, Denial Management.8.Ability to submit claims & Appeals to payers via fax.9.Candidate should know about clinical submission10. Responsible for payment & Denial Posting.11.Responsible for Month end.12.Should be able to match and post patient copays, daily batches and bank statements.