Associate Manager - IP billing & Insurance (RCM) Cytecare Hospital

5.0 - 10.0 years

0 Lacs

karnataka

On-site

Role Overview: As an Inpatient Billing Specialist, your primary responsibility will be to verify patient insurance coverage, generate and submit claims, manage claim denials and appeals, and ensure regulatory compliance. You will work closely with clinical and administrative teams to coordinate documentation accuracy and timely billing. Additionally, you will be required to track outstanding claims, resolve patient billing inquiries, and maintain accurate billing records and reports. Key Responsibilities: - Verify patient insurance coverage including benefits, eligibility, and coverage details with insurance providers. - Obtain pre-authorizations and pre-certifications for inpatient services...

Posted 3 days ago

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Associate Manager - IP billing & Insurance (RCM) Cytecare Hospitals

4.0 - 10.0 years

0 Lacs

karnataka

On-site

As an Associate Manager - IP billing & Insurance (RCM) at our company, your role will involve the following responsibilities: - Verify Patient Insurance Coverage: You will be responsible for confirming inpatient benefits, eligibility, and coverage details with insurance providers prior to or during patient admission. - Obtain Pre-authorizations & Pre-certifications. - Generate and Submit Claims: Your duties will include preparing and submitting accurate claims using UB-04 forms, ensuring proper coding (ICD-10, CPT, HCPCS), and charge entry for inpatient services. - Manage Claim Denials and Appeals. - Coordinate with Clinical and Administrative Teams: You will collaborate with physicians, nur...

Posted 1 month ago

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