Healthcare Revenue Cycle Specialist Position

1 week ago


Bengaluru, Karnataka, India beBeeRevenue Full time ₹ 1,04,000 - ₹ 1,30,878

Job Title:

Healthcare Revenue Cycle Specialist

At our organization, we are seeking a highly skilled Healthcare Revenue Cycle Specialist to join our team. In this critical role, you will be responsible for handling US Healthcare providers/physicians/accounts receivable, working closely with the team leader, and ensuring that deliverables to clients adhere to quality standards.

Responsibilities:

  1. Handle US Healthcare providers/physicians/accounts receivable.
  2. Work closely with the team leader.
  3. Ensure that deliverables to clients adhere to quality standards.
  4. Responsible for working on denials, appeals, rejections, LOAs to accounts, etc.
  5. Review emails for any updates.
  6. Identify issues and escalate them to the immediate supervisor.
  7. Update production logs.
  8. Adhere strictly to company policies and procedures.

Required Skills and Qualifications:

  • Sound knowledge in healthcare concepts (physician billing).
  • Minimum 2 years of AR calling experience.
  • Excellent knowledge of RCM, Medicare, Medicaid, Hospice, HMO, PPO, POS, EPO, MCO plans, modifiers, office code visit, CPT codes, drug codes, appeals, denial management, CMS-1500 form, clearing house, etc.
  • Understand client requirements and project specifications.
  • Be proficient in calling insurance companies.
  • Meet targeted collections daily/monthly.
  • Meet productivity targets within stipulated time.
  • Accurately and timely follow up on pending claims when required.
  • Prepare and maintain status reports.

Benefits:

Our organization offers a comprehensive benefits package, including health insurance, retirement savings plan, paid time off, and opportunities for professional growth and development.

Others:

If you are a motivated and detail-oriented individual with a passion for delivering excellent results, we encourage you to apply for this exciting opportunity.



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