Rcms Associate Ii
4 months ago
Job Description:
Key Responsibilities: 1. Accurate Payment Posting: - Accurately post all insurance and patient payments by line item using medical claim billing software. 2. Zero Errors in Claims Submission: - Ensure all claims are submitted with zero errors to minimize rejections and optimize revenue cycle efficiency. 3. Claims Completeness and Accuracy Verification: - Verify the completeness and accuracy of all claims prior to submission to insurance companies. 4. Meeting Payment Posting Deadlines: - Meet deadlines for posting payments to ensure timely reconciliation of accounts receivable. 5. Interpretation of Explanation of Benefits (EOBs): - Read and interpret insurance EOBs to reconcile payments, denials, and adjustments for accurate posting. 6. Attendance at Staff Meetings and Educational Sessions: - Regularly attend monthly staff meetings and participate in continuing educational sessions to stay informed about industry updates and best practices. 7. Additional Duties as Requested: - Perform additional duties as requested by the supervisory or management team to support departmental objectives. 8. Data Entry for Payment Posting: - Enter necessary information for insurance claims, including patient demographics, insurance ID, diagnosis and treatment codes, and provider information, ensuring completeness and accuracy. 9. HIPAA Compliance: - Follow HIPAA guidelines and maintain patient confidentiality when handling sensitive information during payment posting processes. 10. Patient Benefits Eligibility Verification: - Verify patient benefits eligibility and coverage as needed to ensure accurate payment posting. 11. Data Security and Integrity: - Maintain the security and integrity of practice data being worked on to protect sensitive information and comply with regulatory requirements. 12. Revenue Cycle Performance Analysis: - Obtain a clear view of revenue cycle performance through accurate payment posting and data analysis. 13. Policies and Procedures Development: - Develop exhaustive policies and procedures for write-offs and adjustments to ensure consistency and compliance in financial transactions. Qualifications: - High school diploma or equivalent; associate or bachelor's degree in healthcare administration, Commerce/Arts or related field preferred. - Minimum of 1-2 years of experience in medical billing or revenue cycle management, with a focus on payment posting. - Strong attention to detail and accuracy in data entry and payment reconciliation. - Knowledge of medical billing software and electronic health record (EHR) systems. - Familiarity with insurance EOBs and payment reconciliation processes. - Understanding of HIPAA regulations and patient privacy requirements. - Excellent communication and interpersonal skills. - Ability to work independently and collaboratively in a fast-paced environment. - Commitment to meeting deadlines and achieving departmental goals
Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
-
Rcms Agent
4 months ago
Vadodara, Gujarat, India Qualifacts Systems, Inc. Full timeJob Description: RCMS Configuration Associate Responsibilities for the RCMS Configuration Associate - Responsible for setup, enrollment, and maintenance of EDI clearinghouse integrations for multiple software EHR and RCMS services customers - Work with Config team and Account Manager to manage initial access, enrollment, mapping and transition of EDI -...
-
Healthcare Process Associate
7 months ago
Vadodara, Gujarat, India Aarogram Full timeAre you a talented professional with excellent communication skills? We are a fast-growing healthcare technology startup in the RCM space looking to hire a Healthcare Process Associate (RCM) to join our team in Vadodara, Gujarat. We're building our software product that can automate a lot of RCM tasks. We are looking for someone who will provide insurance...
-
Healthcare Process Associate
2 months ago
Vadodara, Gujarat, India Aarogram Full timeAre you a detail-oriented professional with a passion for healthcare technology? Join our fast-growing healthcare technology startup in the Revenue Cycle Management (RCM) space! We’re looking for a **Healthcare Process Associate (RCM)** to join our team and help drive innovation in **front-end RCM automation**. In this role, you will perform insurance...
-
Healthcare Business
7 months ago
Vadodara, India Aarogram Full timeAre you a talented professional interested in a healthcare software startup? We are a fast-growing startup in the Revenue Cycle Management (RCM) space looking to hire a Healthcare Business (RCM) Associate to join our team in Vadodara, Gujarat. We're building our own software product that can automate a lot of RCM tasks. We are looking for someone who will...
-
Rcms Associate Ii
3 months ago
Vadodara, Gujarat, India Qualifacts Systems, Inc. Full timeJob Description: Responsibilities: - Review and verify the accuracy of charge documents before entry. - Enter charges into the billing system accurately and efficiently. - Investigate and resolve billing discrepancies and coding issues. - Initiate and handle payer calls for escalated billing inquiries and disputes. - Collaborate with coding and clinical...
-
Rcms Associate Ii
7 months ago
Vadodara, India Qualifacts Systems, LLC Full timeBrief understanding on the entire medical billing cycle. - Understanding of different clearing house rejections and the Verbiage used by clearing house pertaining to the rejection of the claims. - Claims should be worked within TAT of 24 hours and should be capable enough to find trends on rejections to reduce them for the customers. - Should have knowledge...
-
Rcms Associate I
4 months ago
Vadodara, Gujarat, India Qualifacts Systems, Inc. Full timeJob Description: 1. Accurate Payment Posting: - Accurately post all insurance and patient payments by line item using medical claim billing software. 2. Zero Errors in Claims Submission: - Ensure all claims are submitted with zero errors to minimize rejections and optimize revenue cycle efficiency. 3. Claims Completeness and Accuracy Verification: -...
-
Associate - Healthcare Ai & Voice Operations
2 months ago
Manjalpur, Vadodara, Gujarat, India Aarogram Full timeAre you a detail-oriented professional with a passion for healthcare technology? Join our fast-growing healthcare technology startup in the Revenue Cycle Management (RCM) space! We’re looking for an **Associate - Healthcare AI & Voice Operations** to join our team and help drive innovation inhealthcare process automation using AI. In this role, you will...
-
Rcms Billing Associate Iii
2 months ago
Vadodara, Gujarat, India Qualifacts Systems, Inc. Full timeJob Description: Responsibilities: - Oversee the charge entry process to ensure accuracy and efficiency. - Investigate and resolve complex billing discrepancies and coding issues. - Lead payer calls for high-level billing inquiries, negotiations, and dispute resolutions. - Collaborate with coding, clinical, and revenue cycle teams to optimize charge...
-
Rcms Billing Associate Iii
4 months ago
Vadodara, Gujarat, India Qualifacts Systems, Inc. Full timeJob Description: - Responsibilities: - Oversee the charge entry process to ensure accuracy and efficiency. - Investigate and resolve complex billing discrepancies and coding issues. - Lead payer calls for high-level billing inquiries, negotiations, and dispute resolutions. - Collaborate with coding, clinical, and revenue cycle teams to optimize charge...
-
Rcms Posting Associate Iii
4 months ago
Vadodara, Gujarat, India Qualifacts Systems, Inc. Full timeJob Description: 1. Accurate Payment Posting: - Accurately post all insurance and patient payments by line item using medical claim billing software. 2. Zero Errors in Claims Submission: - Ensure all claims are submitted with zero errors to minimize rejections and optimize revenue cycle efficiency. 3. Claims Completeness and Accuracy Verification: - Verify...
-
Rcms Associate I Posting
3 months ago
Vadodara, Gujarat, India Qualifacts Systems, Inc. Full timeJob Description: Key Responsibilities: 1. Accurate Payment Posting: - Accurately post all insurance and patient payments by line item using medical claim billing software. 2. Zero Errors in Claims Submission: - Ensure all claims are submitted with zero errors to minimize rejections and optimize revenue cycle efficiency. 3. Claims Completeness and Accuracy...
-
Rcms Associate I
3 months ago
Vadodara, Gujarat, India Qualifacts Systems, Inc. Full timeJob Description: Responsibilities: - Accurately enter charges into the billing system based on provided documentation. - Review charge documents for completeness and accuracy. - Ensure charges are billed in accordance with payer guidelines and regulations. - Initiate payer calls for routine billing inquiries and follow-ups. - Assist in resolving basic...
-
Rcm Associate
5 days ago
Vadodara, India Qualifacts Systems, Inc. Full timeResponsible for all facets of medical billing with an emphasis on maximizing client satisfaction and profitability Responsible for reviewing the patient demographic information. This position requires strong working knowledge of managed care plans, insurance carriers, referrals and precertification procedures. One should possess ability to prioritize...
-
Research Associate Ii
7 months ago
Ahmedabad, Gujarat, India BAXTER Full time**This is where you save and sustain lives** At Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world. You'll feel a sense of purpose throughout the organization, as we know our work improves outcomes for millions of patients. Baxter's products and therapies are found in...
-
Associate Dean
1 week ago
Vadodara, Gujarat, India Parul University Full time**Non Teaching**: **Roles and Responsibilities of the Associate Dean** - a) Assist the Dean and Principal in the management and enhancement of academic and administrative functions within the faculty or institute - b) Ensure smooth implementation of academic programs within the faculty, coordinating with departments to ensure curricula are up to date - c)...
-
Medical Audit Associate
7 months ago
Vadodara, India Asian Hires Full time**Job Title** Lien Ops Associate I **Departmen**t Operations **Reports to (Designation)** Team Lead Job Role (Brief description of the over all purpose of this role): Being a part of very complex yet important process, the associate is responsible to review the medical records (CPL - Conditional Payment Letter) and perform necessary action as per the...
-
Process Associate
7 months ago
Bopal, Ahmedabad, Gujarat, India Search end staffing solution Full timeJob Title: Process Associate Experience: 0-1 years of experience in dental billing (Freshers also considered) Location: S.G Highway, Ahmedabad Industry: Dental and Medical Billing - Voice Process Shift: 6:30 PM - 3:30 AM (5 Days Working) **Key Responsibilities** - Verify dental and medical insurance eligibility for patients. - Handle dental and medical...
-
Research Associate
4 weeks ago
Ahmedabad, Gujarat, India BAXTER Full time**This is where you save and sustain lives** At Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world. You'll feel a sense of purpose throughout the organization, as we know our work improves outcomes for millions of patients. Baxter's products and therapies are found in...
-
Tl Finance
7 months ago
Vadodara, Gujarat, India Kiash Solutions LLP Full timeOffering Relocation Assistance of upto 50 K(reemburissing) and a week's stay. 1) Process Trainer - 4-5 yrs (upto 7.85LPA) 2) Senior Accountant II (CA with 3-4 Years of experience only is preferred) - 4-5 yrs (upto 6.3LPA) 3) Senior Team Lead - Finance/Accounting --5-7 yrs (upto 7.85LPA) 4) Senior Executive - Quality & Process Excellence - 4-5 yrs (upto...