Executive - Accounts Receivables ( U.S Healthcare )

Credence Global Solutions

Health care providers serviced by Credence include medical transport providers, emergency physicians, health infusion service providers, and diagnostic laboratories.

In the telecommunication vertical, Credence serves four of the top five providers in the United States.

Our Group Companies:

• Credence Resource Management, LLC

  - Focuses on providing Receivables Management
  and voice based BPO services, is the flagship company of the Credence Group.

• Innoval Global Solutions, LLC

  &

  Medstat Inc

  - Provide RCM services to health care
  providers.

• iValuate Global Technologies

  - Provides Technology platforms that enhance productivity
  and compliance for creditors and health care providers.

Our mantra is Excellence Beyond Belief.

Challenges, growth opportunities, and a passion for the Job enables us to repeatedly deliver excellence to our clients. Our team is encouraged to continually explore their talents and pursue their interests giving them the authority to gain the knowledge and skills to truly be the master of their domain. We strive to bring on the best and brightest, as well as to invest in their training and education, making them a seamless extension of our team.

Headquartered in Dallas, Texas, we have delivery offices in San Jose, California; Natchez, Mississippi; Mesa, Arizona and Pune, India.

Visit www.credencegs.com to know more about the company.

Job Roles & Responsibilities

• Excellent Knowledge in Denials/ Prior Authorization/ EVBV/ Payment Posting
• Can perform HIPAA compliant auto and manual posting requirements
• Executes daily payment posting batch reconciliation
• Understanding of posting offsets, forward balance, and refund processing / posting
• Familiar with denial and remarks codes to perform posting and assignment of AR appropriately
• Familiar with secondary billing process while perform cash posting
• Clear understanding on: ERA & EOB, ERA codes, Insurance types, Balance billing
• Co-ordination of Benefits
• Ensure full compliance with all company, departmental, legal and regulatory requirements with regards to Payment Posting procedures and practices
• Good verbal and written communication and presentation skills
• Ability to execute and accomplish tasks consistently within deadlines
• Basic knowledge of MS Office
• Experience working on imagine systems and Advanced MD would be an added advantage

Candidate Requirements

• Willingness to work in US shifts
• Minimum 6 months experience in Medical RCM {Revenue Cycle Management}
• Candidate should have good knowledge of denials

Kindly Note:

If you are approached by anyone requesting payment or offering you a position at Credence in exchange for money, do not engage with them. Such actions are fraudulent and not authorized by Credence. Please report any such incidents immediately to our official HR team at hr@credencerm.com

Your safety and trust are important to us. Thank you for helping us maintain a fair and transparent hiring environment.