Medical Billing and Rcm Executive

5 days ago


Remote, India Autism Center of Excellence Full time

**Autism Center of Excellence** is a Premier Autism Therapy Center located in Durham, North Carolina, USA. We offer ABA Therapy to children from 2 years to 18 years of age in a child-centered family-oriented environment. Autism Center of Excellence is currently looking for a Service Coordination Executive to join our team. **Responsibilities**: - Propose process improvements to address repeated issues or trends - Maintain the First Pass resolution rate for practices at 90% or above - Maintain the aging of Client Review AR bucket at less than 10% for 90+ and less than 20% for 60+ AR at all times - Support the development and maintenance of Payor performance metrics (Denial Rate by payor, Gross Collection Rate by payor etc) Goals: - Identify trends in denials and other issues being moved to "Client review" buckets on a daily basis - Weekly reporting on Root Cause issues for AR being moved to Client review buckets and escalate issues that needs Practice's attention - Examine denials resulting from non-compliance to Payor billing requirements, work with the Payor to find a resolution, and implement the correction by escalating to Leadership - Review 120+ AR for collection feasibility and determine adjustments required - Maintain communication with Payors regarding changes to policies and procedures and communicate the same to Leadership - Provide daily report, timesheet, and progress report **Requirements**: - **MUST have strong command on spoken English.**: - **MUST **be proficiency in MS Office (MS Excel and MS Outlook) - **MUST **own a cell phone with a data plan, a good Internet connection. Mic and Laptop. Pay: ₹250,000.00 - ₹500,000.00 per year **Benefits**: - Paid sick time - Paid time off - Work from home Schedule: - Night shift - US shift Supplemental pay types: - Performance bonus - Quarterly bonus Application Question(s): **Experience**: - Claims / Followups / AR Calling: 3 years (preferred) - working in Night Shift: 3 years (preferred) - Authorization/Benefits: 2 years (preferred) Work Location: In person



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