Experienced Billing RCM

4 weeks ago

New Delhi, India My Care International Full time

Position: Experienced Billing RCM (Physicians/Hospital/Lab)Location: RemoteExperience: 3 to 5 yearsShift time: 07:30 pm to 05:30 am IST (10 Hour Night Shift)Workdays: 5 working daysSalary: 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.

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