Cycle Management Specialist

1 week ago

Bengaluru, Karnataka, India beBeeAnalytical Full time ₹ 5,00,000 - ₹ 10,00,000
Revenue Cycle Management Associate

As a key member of our healthcare organization, the Revenue Cycle Management Associate plays a vital role in ensuring the smooth flow of patient information and documentation throughout the revenue cycle process. This position requires strong analytical and problem-solving skills, as well as excellent communication and interpersonal skills.

The ideal candidate will be responsible for administering the revenue cycle process from patient admission to final payment, ensuring compliance with federal and state regulations. They will monitor and manage the flow of patient information and documentation, including insurance verification and authorization, medical coding, and billing.

This role involves working closely with insurance companies, patients, and healthcare providers to resolve billing and reimbursement issues. The Associate will also be responsible for managing the collection of patient copays, deductibles, and outstanding balances, while ensuring that the billing and coding processes are in compliance with the healthcare organization's policies and procedures.

Key Performance Indicators (KPIs) such as days in accounts receivable, denied claims, and payment trends will be monitored and analyzed by the Associate, who will provide recommendations for improvement. This role requires a detail-oriented individual with strong organizational skills and the ability to work effectively in a fast-paced environment.

  • Job Responsibilities:
  • Administer the revenue cycle process from patient admission to final payment
  • Ensure compliance with federal and state regulations
  • Monitor and manage the flow of patient information and documentation
  • Work with insurance companies, patients, and healthcare providers to resolve billing and reimbursement issues
  • Manage the collection of patient copays, deductibles, and outstanding balances
  • Ensure compliance with the healthcare organization's policies and procedures

Required Skills and Qualifications:

  • Analytical and Problem-Solving Skills:
  • Strong analytical and problem-solving skills are essential for this role, as the Associate will be required to analyze KPIs and provide recommendations for improvement.
  • Communication and Interpersonal Skills:
  • Excellent communication and interpersonal skills are necessary for effective collaboration with insurance companies, patients, and healthcare providers.
  • Organizational Skills:
  • A high level of organizational skills is required to manage multiple tasks and prioritize responsibilities effectively.

Benefits:

This role offers a competitive salary and benefits package, including opportunities for professional growth and development.

Others:

The successful candidate will have the opportunity to work in a dynamic and supportive team environment, with access to ongoing training and development opportunities.

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