RCM Specialist

Advantum Health

4 - 6 years

6 - 7 Lacs

Hyderabad

Posted:9 hours ago| Platform:

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Skills Required

Health insurance Claims Payment posting Payment systems Coding Analytical Billing HIPAA Healthcare Revenue cycle management

Work Mode

Work from Office

Job Type

Full Time

Job Description

"> Qualification & Desired Candidate Skills

Intermediate or Bachelor s degree
Candidate must have 4-6 years of experience in end to end AR process.
Candidate with experience in Charge posting & Payment posting will get extra advantage.
Strong knowledge of healthcare billing regulations, coding guidelines, and payment systems.
Excellent analytical and problem-solving skills.
Strong attention to detail and accuracy.
Ability to communicate effectively with insurance companies, patients, and other stakeholders.
Ability to work independently and as part of a team.
Proficient in Microsoft Office and other relevant software applications
Shift Timings: 6:00 PM IST to 3:00 AM IST

Responsibilites

Manage and oversee the revenue cycle process, from charge capture to payment posting
Review and analyze claims for accuracy and completeness before submitting to payers
Ensure compliance with billing regulations and guidelines
Identify and resolve issues with denied or rejected claims
Follow up on unpaid claims and collections to ensure timely payment
Communicate with insurance companies, patients, and stakeholders to resolve billing & coding issues.
Work with healthcare providers to ensure accurate charge capture and documentation
Analyze billing and payment data to identify trends and opportunities for improvement
Collaborate with other healthcare professionals, such as physicians and nurses, to ensure efficient and effective revenue cycle management
Stay up-to-date on changes to healthcare regulations, coding guidelines, and payment systems
Ability to handle Protected Health Information in a manner consistent with the Health Insurance Portability and Accountability Act (HIPAA)
Other duties as assigned

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