Revenue Cycle Representative

1 month ago

Chennai Tamil Nadu, India ResMed Full time

ResMed has always applied the best of technology to improve people's lives. Now our SaaS technology is fueling a new era in the healthcare industry, with dynamic systems that change the way people receive care in settings outside of the hospital-and tools that work every day to help people stay well, longer. We have one of the largest actionable datasets in the industry, creating a complete view of people as they move between care settings. This is how we empower providers-with vital insight to deliver the care people need, right when they need it.

We're also ensuring that our health solutions connect to other companies' networks. Because when objectives align, everyone wins. And as we work today to drive better care and lower costs, we're developing more personalized solutions for tomorrow, utilizing machine learning, intelligent care paths, and predictive protocols. If you are an innovator who wants to make an impact we want to talk to you We have exciting opportunities supporting Brightree by ResMed and MatrixCare by ResMed

**Revenue Cycle Representative - Auth & Eligibility**

We are looking to hire an experienced Revenue Cycle Specialist for Chennai location. We are seeking a high caliber individual interested in pursuing a rewarding career with a dynamic software company. The Revenue Cycle Specialist is responsible for providing quality billing services to HEALTHCAREfirst outsourced billing customers in a timely manner. This specialist must exercise accountability and professionalism in maintaining the high level of service our customers deserve. This role reports to the Manager of Billing Operations.

**Responsibilities**:

- Monitor and follow up on Eligibility & Authorization requirements for assigned agencies’ census.
- Submit claims timely to Medicare, Medicaid and Private Payers for software clients and non-software clients.
- Ensures that the claims processed correctly and were accepted by the payer.
- Process adjustments and re-file claims as needed.
- Member of a cohesive team that works to maintain the AR for HEALTHCAREfirst customers
- Troubleshoot reimbursement issues and claim follow-up
- Works at the established Productivity level
- Builds relationships with clients regarding their billing needs and assist with claim resolutions as needed.
- Addresses client concerns in a timely manner
- Escalates unresolved customer grievances to the proper department, or management for further assessment.
- Understanding of Medicare rules, regulations, billing codes
- Maintain confidentiality and knowledge of HIPAA regulations
- Performs other duties as assigned

**Qualifications**:

- Minimum one year of progressive Home Health and/or Hospice billing experience preferred.
- Prior experience working with Medicare rules, regulations, billing codes (preferred)
- Education equivalent to a High school diploma, college degree preferred
- Ability to perform basic bookkeeping and compile statistics as needed
- Ability to work independently
- Must be organized and able to multitask
- Strong written and verbal communication skills
- Ability to type, operate computers and office equipment
- Aptitude for learning computer systems
- Ability to perform basic bookkeeping and compile statistics as needed
- Maintain a professional demeanor, courteous and flexible at all times
- Open to dynamic change and ability to thrive in such an environment
- Willingness and ability to work effectively with members of other departments
- Education equivalent to a High school diploma, college degree preferred

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