Rcms Billing Associate Iii

4 days ago


Vadodara Gujarat, India Qualifacts Systems, Inc. Full time

Job 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 capture processes.
- Develop and implement strategies to improve charge entry accuracy and timeliness.
- Train and mentor junior associates on advanced billing procedures and payer communication.
- Analyze data and trends to identify opportunities for revenue optimization and process improvement.

Requirements:

- Bachelor's degree in healthcare administration, finance, or related field.
- Minimum of 5 years of progressive experience in medical billing or revenue cycle management.
- In-depth knowledge of healthcare billing regulations and coding systems.
- Strong leadership and mentoring skills.
- Excellent communication and negotiation abilities.
- Proficiency in data analysis and reporting tools.
- Ability to drive change and implement process improvements effectively.

Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.


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