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Revenue Cycle Representative - Auth & Eligibility

Revenue Cycle Representative - Auth & Eligibility

Resmed

1 - 3 years

7 - 11 Lacs

Chennai

Posted:2 days ago| Platform:

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Skills Required

Claims Office equipment Billing HIPAA Machine learning Book Keeping Healthcare Representative Management Revenue cycle management

Work Mode

Work from Office

Job Type

Full Time

Job Description

ResMed has always applied the best of technology to improve peoples lives. Now our SaaS technology is fueling a new era in the healthcare industry, with dynamic systems that change the way people receive care in settings outside of the hospital-and tools that work every day to help people stay well, longer. We have one of the largest actionable datasets in the industry, creating a complete view of people as they move between care settings. This is how we empower providers-with vital insight to deliver the care people need, right when they need it.

Revenue Cycle Representative - Auth & Eligibility

We are a dynamic Revenue Cycle Management (RCM) and software company committed to delivering exceptional billing services and innovative solutions to our clients. We are seeking a high-caliber individual who is passionate about healthcare billing and eager to grow within a fast-paced, collaborative environment.

Position Summary

The Revenue Cycle Representative is responsible for providing accurate and timely billing services to both software and non-software clients. This role plays a key part in maintaining client satisfaction and ensuring the financial health of our customers through effective claims management and reimbursement follow-up.

Responsibilities:

Monitor and follow up on Eligibility & Authorization requirements for assigned agencies census.
Submit claims timely to Medicare, Medicaid and Private Payers for software clients and non-software clients.
Ensures that the claims processed correctly and were accepted by the payer.
Process adjustments and re-file claims as needed.
Member of a cohesive team that works to maintain the AR for HEALTHCAREfirst customers
Troubleshoot reimbursement issues and claim follow-up
Works at the established Productivity level
Builds relationships with clients regarding their billing needs and assist with claim resolutions as needed.
Addresses client concerns in a timely manner
Escalates unresolved customer grievances to the proper department, or management for further assessment.
Understanding of Medicare rules, regulations, billing codes
Maintain confidentiality and knowledge of HIPAA regulations
Performs other duties as assigned

Qualifications:

Minimum 1-3 years of progressive Home Health and/or Hospice billing experience preferred.
Prior experience working with Medicare rules, regulations, billing codes (preferred)
Education equivalent to a High school diploma, college degree preferred
Ability to perform basic bookkeeping and compile statistics as needed
Ability to work independently
Must be organized and able to multitask
Strong written and verbal communication skills
Ability to type, operate computers and office equipment
Aptitude for learning computer systems
Ability to perform basic bookkeeping and compile statistics as needed
Maintain a professional demeanor, courteous and flexible at all times
Open to dynamic change and ability to thrive in such an environment
Willingness and ability to work effectively with members of other departments

We commit to respond to every applicant.

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Healthcare - Medical Devices

San Diego

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Revenue Cycle Representative - Auth & Eligibility