Job Title

AR Caller:JOB DESCRIPTION:• Perform pre-call analysis and check status by calling the payer or using IVR or web portal services.• Calling Insurance companies on behalf of physicians and carryout further examination on outstanding Accounts Receivables.• Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference.• Record after-call actions and perform post call analysis for the claim follow-up.• Make corrections to the claim based on inputs from the insurance company.• Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments.JOB REQUIREMENTS:To be considered for this position, applicants need to meet the following qualification criteria:• 1-4 Years of experience in accounts receivable follow-up / denial management for US healthcare customers• Excellent verbal and written communication skills.• Knowledge on Denials management and A/R fundamentals is a must.• Willingness to work in night shifts (Work from Office).• Basic working knowledge of computers.• Knowledge of Healthcare terminology and ICD/CPT codes.• Ability to follow instructions precisely.Payment Posting:Job Description:At PracticeSuite India Pvt Ltd, we rely on powerfully insightful data to ensure the delivery of our excellent healthcare services. A Payment Posting User in the RCM process is responsible for accurately applying payments and adjustments to patient accounts by interpreting EOBs, reconciling payments, and identifying and resolving discrepancies. Key duties include ensuring timely cash flow, processing payments from various sources like insurance and patients, and communicating with other departments to resolve issues.Key Responsibilities:Payment and adjustment posting: Accurately post insurance and patient payments, as well as adjustments, into the practice management system.EOB and ERA reconciliation: Review and interpret Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) to ensure correct application of payments and to identify discrepancies.Daily balancing and reconciliation: Perform daily balancing of cash and adjustments and reconcile unapplied cash accounts.Discrepancy resolution: Identify and resolve discrepancies in payments, such as incorrect payments or non-payment issues, by working with other teams like billing and AR.Denial and credit management: Post denial information and research credit balances to process refunds or transfers to the appropriate party.Compliance: Maintain compliance with industry regulations and company policies.Productivity and accuracy: Meet productivity and accuracy benchmarks as per service level agreements (SLAsCharge Entry:Job Description:To ensure the accurate and timely entry of all medical services rendered into the billing system, facilitating correct claim submission and optimizing the healthcare provider's revenue cycle.Key Process Steps & Responsibilities: Review Documentation: Analyse patient encounter forms, superbills, operative notes, and other clinical documentation to identify services rendered.Code Assignment: Apply the correct CPT (Current Procedural Terminology), HCPCS, and ICD-10 (International Classification of Diseases) codes and necessary modifiers based on the clinical documentation.Data Entry: Accurately enter all relevant charge information, including patient demographics, insurance details, date of service, units of service, and billed amounts into the practice management or EHR system.Accuracy Verification: Conduct thorough verification of all entered data to ensure accuracy and completeness, minimizing errors that lead to claim denials.Discrepancy Resolution: Identify and resolve any discrepancies in documentation or coding by collaborating with coding staff, healthcare providers, and other internal teams.Claim Submission: Ensure timely and accurate submission of "clean claims" to insurance carriers, either electronically or via paper, following specific payer requirements.Compliance Adherence: Maintain strict adherence to billing and coding compliance guidelines, including HIPAA regulations and specific government and commercial insurance payer rules.Reporting and Auditing: Generate and review charge entry reports, participate in quality control audits, and assist with month-end closing procedures.Account Follow-up: Monitor unbilled accounts and follow up on claim statuses to ensure prompt processing and address any denials or rejections.Experience: 1+ YearsLocation: Kochi (Complete WFO)Shift for AR Caller: US Shift (6:30 PM to 3:30 AM IST) Shift for Charge Entry and Payment Posting: Day Shift (9 AM to 6 PM IST)Interested candidates can share resume at Talent@Who We Are:PracticeSuite is a national, fast-growing cloud computing software company based in Tampa, FL that provides a cloud-based 360°Office Platform to healthcare facilities. PracticeSuite has an agile management team, high employee morale, and high customer satisfaction and retention. PracticeSuite is growing rapidly and is being recognized as one of the 5 top cloud-based systems within healthcare.Please visit our website to learn more about us, at LinkedIn Page: Inc is committed to equal opportunity in the terms and conditions of employment for all employees and job applicants without regard to race, color, religion, sex, sexual orientation, age, gender identity or gender expression, national origin, disability, or veteran status. PracticeSuite, Inc also complies with all applicable national, state and local laws governing nondiscrimination in employment.