RCM AR Analyst

Your Role

• Responsible for working assigned claims and running reports to identify claims that require a follow-up and resolve the denial by taking appropriate action as per Modmed guidelines.
• Ensuring timely follow up to save claims from getting written off due to untimely following up.
• Work on Contractual adjustments and write-off projects.
• Analyze previous notes and actions taken on claims; take the correct action on claims not handled correctly previously and bring that to the knowledge of the Quality Team.
• Identify opportunities to improve follow up process and recommend changes to be added / removed in the Practice Instructions or SOPs with any recent changes at the Payer end.
• Attend trainings to learn new updates, technologies, and techniques; enhancing knowledge of various scenarios and keeping abreast with the new updates is an important requirement for this role.
• Continuously self-audit to ensure quality standards are met.
• Review claim thoroughly and explore all possibilities to get claim resolved prior to assigning claims to any other Modmed or client buckets.
• Perform additional tasks or project work as assigned.

Skills & Requirements

Skills Required

Revenue Cycle Management, Ar Calling, Billing, Denial Management