sme- ar

3 weeks ago

Hyderabad, India Credense Medical Billing Full time

SME Responsibilities:

  1. Provide expert knowledge and guidance in medical billing procedures, coding, and compliance standards.

  2. Process Improvement: Analyze existing billing processes and systems to identify opportunities for improvement in efficiency and accuracy.

  3. Training and Development: Develop training materials and conduct training sessions for staff on medical billing best practices, new regulations, and software updates.

  4. Audit and Compliance: Conduct regular audits to ensure billing practices comply with regulatory requirements and internal policies.

  5. Quality Assurance: Implement quality assurance measures to maintain high standards of accuracy and completeness in billing documentation and submissions.

  6. Research and Resolution: Research complex billing issues and provide timely resolutions to ensure prompt reimbursement and customer satisfaction.

  7. Documentation and Reporting: Maintain detailed documentation of billing processes, audits, and resolutions. Prepare reports for management on key metrics and performance indicators.

  8. Customer Support: Provide support to internal teams and external clients regarding billing inquiries, discrepancies, and issues.

  9. Stay Updated: Stay informed about changes in medical billing regulations, coding guidelines, and industry trends to ensure compliance and best practices.

  10. Collaboration: Collaborate with cross-functional teams including healthcare providers, IT professionals, and legal experts to address billing challenges and implement solutions.

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