Subject Matter Expert (SME)

Years of Experience: 4–5 Years

Shift Timings: Night Shift (7:00 PM to 4:00 AM)

Location: Hyderabad, Telangana

Education Qualification:

Any graduate

Roles and Responsibilities:

• AR callers with good experience of 4+ Years RCM Experience (Physician Billing).
• Knowledge of Federal, Commercial, and WC Payor Requirements
• Understanding provider information and patient information as it impacts claim resolution
• Knowledge of Clearing House rejections or denials and its resolution
• Knowledge of Payor Denials and Resolution
• Knowledge of Appeals Process: Form Types and Documents related to Appeals, Online Appeals
• Coding knowledge: ICD/CPT, E/M codes, Code Series, Modifiers in Physician billing, and its impact
• Good IQ levels understanding the denials and timely resolutions.
• Agents should have high task capabilities to work on Client analytics, High dollar claims, Rejections, Report management and maintaining Team metrics.
• Demonstrate deep knowledge of Accounts Receivable and specialized experience in AR-Denial management.
• Address and resolve complex AR-related issues, acting as the go-to resource for technical and process queries.
• Guide and train AR teams for continuous performance and mentoring.
• Strong analytical, problem-solving, and technical capabilities; excellent communication skills; and strong data analysis competencies.
• Ability to customize training needs to meet the business requirements for specific practices/specialities
• Ability to handle complex denials and strong determination to provide resolution on denials.

Job Types: Full-time, Permanent

Pay: ₹20,000.00 - ₹45,000.00 per month

Benefits:

• Health insurance
• Paid sick time
• Paid time off
• Provident Fund

Work Location: In person