Experienced Billing RCM

Position: Experienced Billing RCM (Physicians/Hospital/Lab)

Location: Remote

Experience: 3 to 5 years

Shift time: 07:30 pm to 05:30 am IST (10 Hour Night Shift)

Workdays: 5 working days

Salary: 35+

Company Overview:

My Care Labs is a leading laboratory specializing in wellness and toxicology testing, committed to providing accurate and timely results to support healthcare decisions. We are currently seeking a skilled and detail-oriented Medical Billing Specialist to join our billing team and contribute to efficient revenue cycle management.

Position Overview:

As a Medical Billing Specialist, you will play a crucial role in managing the billing processes to ensure timely and accurate submission of claims, efficient processing of payments, and adherence to industry regulations. This role involves supervising a team of billing specialists, coordinating with various departments, and optimizing billing procedures to enhance overall revenue cycle efficiency.

Responsibilities:

• Oversee the accurate and timely processing of claims, ensuring compliance with payer guidelines and regulations.
• Review and address billing discrepancies, rejections, and denials, implementing corrective actions as needed.
• Develop and implement billing policies and procedures to improve accuracy and efficiency.
• Collaborate with coding, compliance, and other departments to ensure accurate coding and documentation.
• Analyse billing data and metrics to identify trends, issues, and opportunities for process improvements.
• Ensure proper follow-up on unpaid or denied claims and manage the appeals process.
• Oversee the use of billing software and electronic health record (EHR) systems, ensuring they are up-to-date and functioning properly.
• Stay informed about changes in U.S. revenue cycle management practices and federal regulations to ensure billing processes remain compliant and optimized.
• Provide guidance and training to the billing team on evolving industry standards and policy updates.

Qualifications:

• Bachelor’s degree in business administration, Healthcare Administration, Finance, or a related field is required. Advanced degrees or certifications (e.g., Certified Professional Biller (CPB)) are a plus.
• Proven experience with billing systems, payer guidelines, and regulatory compliance.
• Strong understanding of U.S. revenue cycle management, including billing workflows, reimbursement methodologies, and common challenges.
• Up-to-date knowledge of federal regulations, policy changes, and industry standards impacting medical billing practices.
• Familiarity with billing software and electronic health records (EHR) systems.
• Strong attention to detail, analytical skills, and the ability to work independently.
• Excellent communication and collaboration skills.