Work from Office
Full Time
Role Objective
Follow up is the most essential part in the RCM cycle. It is usually the last step in the cycle after cash-posting. After Denial management (AR Follow up), again the cycle starts till the payment is made by the insurance company.
Essential Duties and Responsibilities
Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures.
Analysis data to identify process gaps, prepare reports and share findings for Metrics improvement.
Able to interact independently with counterparts.
Project Management
Performance management
First level of escalation and able to end to end closure of highlighted issues
Work in all shifts on a rotational basis WFO only
Need to be cost efficient with regards to processes, resource utilization and overall constant cost management
Must operate utilizing aggressive operating metrics.
Qualifications
Graduate in any discipline from a recognized educational institute (Except B.Pharma, M.Pharma, Regular MBA, MCA B.Tech Freshers')
Good analytical skills and proficiency with MS Word, Excel and Powerpoint
Good communication Skills (both written & verbal)
Skill Set
Candidate should be good in Denial Management
Candidate should have knowledge of Medicare, Medicaid & ICD & CPT codes used on Denials
Ability to interact positively with team members, peer group and seniors.
Subject matter expert in AR follows up
Good knowledge of SQL/Power BI/Excel
Demonstrated ability to exceed performance targets
Ability to effectively prioritize individual and team responsibilities
Communicates well in front of groups, both large and small.
R1 RCM
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