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Credense Medical Billing logo

SME- AR

5 - 8 years

2 - 6 Lacs

Hyderabad

Posted:5 days ago| Platform: Naukri logo

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Skills Required

AR Calling Revenue Cycle Management Denial Handling Medicare CPT Cash Posting Appeals SME US Healthcare ICD Denials Payment Posting Medical Billing Rejection Authorization Era Subject Matter Expertise Refunds Denial Management Medicaid RCM

Work Mode

Work from Office

Job Type

Full Time

Job Description

SME Responsibilities: 1. Provide expert knowledge and guidance in medical billing procedures, coding, and compliance standards. 2. Process Improvement: Analyze existing billing processes and systems to identify opportunities for improvement in efficiency and accuracy. 3. Training and Development: Develop training materials and conduct training sessions for staff on medical billing best practices, new regulations, and software updates. 4. Audit and Compliance: Conduct regular audits to ensure billing practices comply with regulatory requirements and internal policies. 5. Quality Assurance: Implement quality assurance measures to maintain high standards of accuracy and completeness in billing documentation and submissions. 6. Research and Resolution: Research complex billing issues and provide timely resolutions to ensure prompt reimbursement and customer satisfaction. 7. Documentation and Reporting: Maintain detailed documentation of billing processes, audits, and resolutions. Prepare reports for management on key metrics and performance indicators. 8. Customer Support: Provide support to internal teams and external clients regarding billing inquiries, discrepancies, and issues. 9. Stay Updated: Stay informed about changes in medical billing regulations, coding guidelines, and industry trends to ensure compliance and best practices. 10. Collaboration: Collaborate with cross-functional teams including healthcare providers, IT professionals, and legal experts to address billing challenges and implement solutions.

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Credense Medical Billing
www.credensemedicalbilling.com

Healthcare, Medical Billing

Healthcare City

50-100 Employees

3 Jobs

    Key People

  • John Doe

    CEO

  • Jane Smith

    Director of Operations

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