I’m working in R1 RCM, it’s a US base healthcare industry. I’m looking for a job in health care industry. I have more than 2.6 years of experience in claims denial management(AR).
Experience
R1 RCM
Oct 2019 – Present
Gurugram, Haryana
Senior Analyst
Denial management(AR) I have to work on the medical claims and follow up on outstanding Accounts Receivable. To
prioritize the pending claims for calling from the aging
basket. Should be able to convince the claims
company (payers) for payment of their outstanding
claims. To check the appropriateness of the insurance
information given by the patient if it is inadequate or
unclear. To make a physical call by following the
international norms and applicable rules for
confidentiality and HIPAA compliance. Escalate
difficult collection situations to management in a
timely manner. Review provider claims that have not
been paid by insurance companies. Handling patients
billing queries and updating their account information.
Post cash and write off the contractual adjustments
accordingly while working on the accounts. Meeting
daily/weekly and monthly targets set for an individual.
