Revenue Cycle Management Executive

3 - 5 years

6 - 12 Lacs

Posted:5 hours ago| Platform: Naukri logo

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Work Mode

Remote

Job Type

Full Time

Job Description

claims handling, appeals, and accounts receivable (AR) management

Primary Responsibilities

  • Maintain billing software by updating rate changes, payment spreadsheets, and collection reports.
  • Manage and organize

    Accounts Receivable (AR)

    effectively.
  • Audit data to ensure

    clean and accurate claims

    submission.
  • Prepare and submit billing data and medical claims to insurance companies.
  • Verify that all

    patient medical information

    is current and accurate.
  • Generate bills and invoices, documenting amounts due for medical services.
  • Post payments

    and reconcile accounts accurately.
  • Maintain up-to-date billing information and detailed records in the billing system.
  • Conduct regular review meetings with the RCM Manager to address AR issues and ensure timely resolution.
  • Follow up on missed or delayed payments and resolve discrepancies.
  • Review patient bills for accuracy and request missing documentation as needed.
  • Investigate and

    appeal unpaid or denied claims

    promptly.
  • Ensure strict adherence to

    HIPAA regulations

    and maintain confidentiality at all times.

Desired Experience & Skills

  • Minimum

    3+ years of experience

    in Revenue Cycle Management (RCM).
  • Excellent

    verbal and written communication

    skills.
  • Strong

    time management

    and

    multitasking

    abilities.
  • Exceptional

    problem-solving

    and

    organizational

    skills.
  • Ability to work

    independently

    as well as

    collaboratively

    in a team.
  • Proficiency in

    Microsoft Excel or Google Sheets

    .
  • Experience with

    ABA (Autism Care) billing

    is a strong advantage.
  • Prior

    accounts receivable analysis

    experience.
  • Preferable experience with the

    Office Ally clearinghouse

    .
  • Solid understanding of

    HIPAA compliance

    and patient confidentiality.

Qualifications

  • Bachelors degree

    or equivalent work experience.

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