Ar Caller/rcm(Male Candidates Only)
2 weeks ago
Role & Responsibilties:
- 1.Claims Processing:
- Submit accurate claims to insurance companies.
Monitor and track claim statuses.
Manage denials and re-submissions.
2.Billing:
- Generate and send patient invoices.
Ensure timely and accurate billing processes.
3.Payment Posting:
- Post payments from insurance companies and patients
Reconcile payments and ensure accuracy in records.
4.Patient Account Management:
Handle patient inquiries about billing and insurance.
Assist patients with payment plans and account resolution.
5.Insurance Verification:
Verify patient insurance coverage.
Update patient information and insurance details.
6.Reporting:
Prepare and analyze RCM reports.
Identify trends and provide insights for process improvement.
7.Compliance:
Ensure adherence to healthcare regulations and standards.
Maintain confidentiality and security of patient information.
8.Communication:
- Coordinate with healthcare providers, insurance companies, and patients.
Resolve billing and payment discrepancies.
9.Training & Development:
Train new staff on RCM processes.
Keep up-to-date with changes in healthcare billing regulations.
Must Have Skills:
- 1. Knowledge of Medical Billing and Coding:
Proficiency in ICD-10, CPT, and HCPCS codes.
2.Familiarity with RCM Software:
Experience with software like Epic, Cerner, Meditech, or similar.
3.Analytical Skills:
Ability to analyze billing and payment data to identify discrepancies.
4.Attention to Detail:
High level of accuracy in claims processing and billing.
5.Communication Skills:
Strong verbal and written communication skills for interacting with patients, providers, and insurers.
6.Problem-Solving Skills:
Ability to resolve billing issues and payment discrepancies.
7.Understanding of Healthcare Regulations:
Knowledge of HIPAA, Medicare, Medicaid, and other relevant regulations.
Good to Have Skills:
- 1.Certification:
Certified Professional Coder (CPC) or Certified Revenue Cycle Specialist (CRCS).
2.Advanced Excel Skills:
Proficiency in using Excel for data analysis and reporting.
3.Customer Service Experience:
Experience in handling patient inquiries and providing solutions.
4.Multilingual Abilities:
Ability to communicate in multiple languages, particularly Spanish.
5.Project Management:
Skills in managing projects to improve RCM processes.
6.Knowledge of Financial Systems:
Familiarity with accounting principles and financial management.
**Education**:
- 1.Minimum: H.S.C, Graduation
2.Preferred: Bachelor’s degree in healthcare administration, business administration, or a related field.
**Experience**:
- 1.Minimum: 2-3 years of experience in medical billing, coding, or healthcare administration.
2.Preferred: 4-5 years of experience in RCM roles within a healthcare setting. Experience with electronic health record (EHR) systems and RCM software is highly desirable.
**Job Types**: Full-time, Permanent
Pay: ₹20,000.00 - ₹30,000.00 per month
**Benefits**:
- Health insurance
- Paid sick time
- Paid time off
- Provident Fund
Schedule:
- Fixed shift
- Monday to Friday
- Night shift
- US shift
Work Location: In person
**Speak with the employer**
+91 8369833968
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