Description: R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For™ 2023 by Great Place To Work® Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to ‘make healthcare simpler’ and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities.
Role Objective:
- Can work on data, hands on excel, good analytics, AR Balance / Manage data
- Responsible for credit balances, undistributed payments and requests for refunds
- Conducting timely and accurate review of undistributed payments, overpayments, credits and requests for refunds in
HealthLink. Responsible for taking all steps necessary to facilitate prompt and accurate resolution of payments
including follow up with third party payers to determine coordination of benefits, insurance primacy rules and filing
order.
- Effectively communicate information about insurance billing and follow-up processes to patients and internal
customers
- Initiate refunds to patients/guarantors, insurance companies, and other third parties by following established refund
procedures, contractual obligations, payer and regulatory requirements.
- Conduct timely and accurate review of refund requests for payers with contracted recoupment language to reduce
future recoupment reconciliations.
- Responsible for reviewing, validating and correcting adjustments on accounts based on insurance reimbursement
and coverage, contracted payers, and services provided.
- Validate and update patient demographic and insurance information to ensure accuracy of future claims
Other Details
- Keywords: Healthcare / Credit Balance
Noida
Analyst (Noida) / Sr. Analyst (GGN) - Cash Posting
1.0 yrs - 3.0 yrs
INR 3.00 lacs - 4.60 lacs