Account receivable
IKS HEALTH CARE One year Experience
Mumbai
Accounts Receivable Executive – U.S. Healthcare (Revenue Cycle Management)
- Managed Accounts Receivable processes for U.S. healthcare providers, including doctors and hospitals.
- Worked on Revenue Cycle Management (RCM) to ensure timely reimbursement from insurance companies for services rendered to patients.
- Analyzed claim delays and denials by identifying billing, coding, and eligibility-related issues.
- Verified and corrected surgical and procedure codes (CPT/ICD) to ensure accurate claim submission.
- Checked the patient's insurance eligibility, benefits, and coverage prior to claim follow-ups.
- Calculated and validated correct billing amounts for medications, procedures, and medical equipment, as per insurance plans.
- Prepared and submitted appeals to insurance companies for underpaid or denied claims.
- Accurately calculated expected reimbursement and ensured proper payment posting and follow-up.
- Verified insurance eligibility, coverage limits, and authorization requirements