Jobs

Interviews
Job Alerts
Tools

Upskill and Grow with AI

Mock Interview Practice interviews in realistic simulations

Coding Practice Improve your coding skills with challenges

Certification Earn certifications to validate your skills

AI Learning Get trained with AI expert sessions

Career Path AI insights for smarter career decisions

AI Job Match Score AI-Powered Job Match Against Your Resume and Optimize Your Resume

Career Tools and Resources

Resume Builder Build Professional Resume with Ease

ATS Friendliness Check Check Resume Friendliness for Applicant Tracking Systems

Auto Apply Apply to hundreds of jobs on any platform effortlessly

Co-Pilot (Chrome Extension) Your AI Assistant for Seamless Browsing Efficiency

Interview Questions Streamline interviews with ready-to-use questions

Salaries Discover market-driven salary insights across skillsets and geographies

Companies Explore leading companies actively hiring talent
For Employers

Home
>
Jobs in vadodara
>
Qualifacts Systems, Inc.
>
Supervisor, RCMS

Supervisor, RCMS

Qualifacts Systems, Inc.

3 - 5 years

2 - 4 Lacs

vadodara

Posted:2 weeks ago| Platform: GlassDoor logo

Apply

Skills Required

training billing software compliance collaborative capture coding resolve audits support reimbursement communication reporting analyze reports data efficiency drive healthcare cpt regulations leadership negotiation certification management diversity

Work Mode

On-site

Job Type

Part Time

Job Description

Job Description:

Responsibilities:

Supervision and Leadership:

Lead and mentor a team of RCM Charges Associates.
Provide training on billing procedures, software systems, and compliance standards.
Conduct regular performance evaluations and provide feedback for professional development.
Foster a collaborative and supportive work environment to maximize team productivity.

Charge Capture and Entry:

Oversee the timely and accurate capture and entry of charges for medical services.
Ensure compliance with coding guidelines, payer requirements, and regulatory standards.
Review charge entry processes to identify areas for improvement and implement necessary changes.
Resolve complex coding issues and escalate discrepancies as needed.

Quality Assurance:

Conduct audits to verify the accuracy and completeness of charge entries.
Develop and maintain quality assurance procedures to minimize errors and ensure compliance.
Provide ongoing training and support to address identified deficiencies and improve performance.

Payer Communication:

Collaborate with payer representatives to address billing inquiries, disputes, and reimbursement issues.
Facilitate regular communication with payers to stay informed of changes in billing policies and procedures.
Negotiate payment terms and resolve disputes to maximize revenue recovery.

Reporting and Analysis:

Generate and analyze reports to monitor key performance indicators, such as charge lag and denial rates.
Identify trends and patterns in charge data to inform decision-making and process improvement efforts.
Develop actionable insights and recommendations to optimize revenue cycle performance.

Process Improvement:

Continuously evaluate and streamline charge capture and entry processes to enhance efficiency and accuracy.
Implement best practices and innovative solutions to drive operational excellence.
Collaborate with cross-functional teams to identify opportunities for revenue enhancement and cost reduction.

Requirements:

Bachelor's degree in healthcare administration, business, or related field (preferred).
Minimum of 3-5 years of experience in medical billing, with a focus on charge capture and entry.
Proficiency in medical coding systems (e.g., CPT, ICD-10) and billing software.
Strong understanding of healthcare billing regulations, compliance standards, and payer policies.
Excellent leadership and interpersonal skills, with the ability to motivate and inspire a team.
Analytical mindset with the ability to interpret data and make data-driven decisions.
Effective communication and negotiation skills, with the ability to interact professionally with internal and external stakeholders.
Detail-oriented approach with a commitment to accuracy and quality assurance.
Proven track record of driving process improvements and achieving measurable results in revenue cycle management.
Certification in medical coding (e.g., CPC) or revenue cycle management (e.g., CRCR) is a plus.

Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

More Jobs at Qualifacts Systems, Inc.

Senior Staff Software Engineer Tech Lead

Vadodara

Experience: Not specified

Salary: Not disclosed

RCMS AR Specialist II

Vadodara

2.0 - 2.0 yrs

INR 4 - 5 Lacs

Lead, Engineering

Vadodara

3.0 - 3.0 yrs

INR 4 - 8 Lacs

Senior Support Specialist I

Vadodara

2.0 - 2.0 yrs

INR 4 - 4 Lacs

Software Engineer II

Vadodara

Experience: Not specified

Salary: Not disclosed

Mock Interview

Practice Video Interview with JobPe AI

Start Job-Specific Interview

Start Your Job Search Today

Browse through a variety of job opportunities tailored to your skills and preferences. Filter by location, experience, salary, and more to find your perfect fit.