Rcm Analyst
CurrentBilling and Accounts Receivable- Works on accounts from assigned area(s) to maximize reimbursement.- Resolves unpaid or underpaid claims and collections on behalf of clients.- Ascertains account information, and corrects charge and claim discrepancies.- Makes necessary corrections regarding insurance data or patient registration.Payer Correspondence and Appeals- Resolves payer rejections and denials through the appeals process.- Responsible for working on payer correspondence, edits, and aged accounts receivable.- Corrects clearinghouse and payer rejections daily, notifying management of trends.- Composes correspondence including claim forms, appeals, and notifications to applicable parties as needed.Patient and Payer Communication- Obtains claim status via various methods (telephone, internet, fax).- Contacts various payers to collect outstanding accounts.Compliance and Auditing- Reviews and interprets contractual terms for managed care, commercial, Medicare, Medicaid, etc.- Obtains supporting documentation for insurance follow-up efforts.- Audits and reviews daily tasks to ensure accuracy and completeness.- Balances and closes batches in a timely manner.