Executive - Underpayments Review Job in Access Healthcare Services Pvt Ltd.

Identification of underpayments on patient accounts and taking appropriate action to resolve the account

Proactively trend and monitor information to ensure that payments are posted as per contracts

Maintain appropriate data and trends to report back collections, along with any negative collections

Participate in weekly meetings with the customer to ensure claim denials trends are discussed

Comply with all reimbursement and billing procedures for regulatory, third party, and insurance compliance norms

Provide daily reports as assigned including but not limited to: Claim error report, Audit report, Payment Variance

Work closely with Accounts Receivables Team to resolve account or payer issues, including identifying if underpayment or overpayment issue is related to payor, incorrect insurance, or billing error.

Work with the contracts team to update contract loading issues so that the correct expected reimbursement is reflected upon pricing of the claim

Identifies payer problems that relate to billing or collections.

Participates in Performance Improvement activities.

2-4 years of experience in accounts receivables management

Good understanding of collections processes and managed care contracts

Ability to read and understand complex contract terms and the ability to communicate and/or resolve the deficiencies with both internal and external customers.

Strong Mathematical and Analytical Skills

Graduate Degree in any steam

Excellent communication skills, both written and verbal.

Must be flexible to work in shifts

Freshers with good typing and communication skill may also apply