Rcms Associate Ii

3 days ago

Vadodara Gujarat, India Qualifacts Systems, Inc. Full time

Job Description:
Key Responsibilities: 1. Accurate Payment Posting: - Accurately post all insurance and patient payments by line item using medical claim billing software. 2. Zero Errors in Claims Submission: - Ensure all claims are submitted with zero errors to minimize rejections and optimize revenue cycle efficiency. 3. Claims Completeness and Accuracy Verification: - Verify the completeness and accuracy of all claims prior to submission to insurance companies. 4. Meeting Payment Posting Deadlines: - Meet deadlines for posting payments to ensure timely reconciliation of accounts receivable. 5. Interpretation of Explanation of Benefits (EOBs): - Read and interpret insurance EOBs to reconcile payments, denials, and adjustments for accurate posting. 6. Attendance at Staff Meetings and Educational Sessions: - Regularly attend monthly staff meetings and participate in continuing educational sessions to stay informed about industry updates and best practices. 7. Additional Duties as Requested: - Perform additional duties as requested by the supervisory or management team to support departmental objectives. 8. Data Entry for Payment Posting: - Enter necessary information for insurance claims, including patient demographics, insurance ID, diagnosis and treatment codes, and provider information, ensuring completeness and accuracy. 9. HIPAA Compliance: - Follow HIPAA guidelines and maintain patient confidentiality when handling sensitive information during payment posting processes. 10. Patient Benefits Eligibility Verification: - Verify patient benefits eligibility and coverage as needed to ensure accurate payment posting. 11. Data Security and Integrity: - Maintain the security and integrity of practice data being worked on to protect sensitive information and comply with regulatory requirements. 12. Revenue Cycle Performance Analysis: - Obtain a clear view of revenue cycle performance through accurate payment posting and data analysis. 13. Policies and Procedures Development: - Develop exhaustive policies and procedures for write-offs and adjustments to ensure consistency and compliance in financial transactions. Qualifications: - High school diploma or equivalent; associate or bachelor's degree in healthcare administration, Commerce/Arts or related field preferred. - Minimum of 1-2 years of experience in medical billing or revenue cycle management, with a focus on payment posting. - Strong attention to detail and accuracy in data entry and payment reconciliation. - Knowledge of medical billing software and electronic health record (EHR) systems. - Familiarity with insurance EOBs and payment reconciliation processes. - Understanding of HIPAA regulations and patient privacy requirements. - Excellent communication and interpersonal skills. - Ability to work independently and collaboratively in a fast-paced environment. - Commitment to meeting deadlines and achieving departmental goals

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

  • Rcms Associate Ii

    2 weeks ago

    Vadodara, Gujarat, India Qualifacts Systems, Inc. Full time

    Job Description: Job Description : RCM Rejection Associate (Intermediate Level)Min 1-2 years of work experience in the same domain- Ready to work in EST time Zone Experience Required: Minimum 1-2 years of work experience in the same domain (RCM Rejection Management). Work Schedule: Must be available to work in the EST time zone. Key...

  • Rcms Associate Ii

    6 days ago

    Vadodara, Gujarat, India Qualifacts Systems, Inc. Full time

    Job Description: RCM Rejection Associate (Intermediate Level)Handle more complex rejection cases that require in-depth analysis or investigation.- Collaborate with billing specialists or healthcare providers to address systemic issues contributing to claim rejection.- Develop and implement strategies to reduce claim rejection rates and improve overall...

  • Rcm Associate Ii

    2 weeks ago

    Vadodara, Gujarat, India Qualifacts Systems, Inc. Full time

    Job Description: Experience Required: Minimum 1-2 years of work experience in the same domain (RCM Rejection/AR/Denial Management). Work Schedule: Must be available to work in the EST time zone. Key Responsibilities: - Min 1-2 years of work experience in the same domain- Handle more complex rejection cases that require in-depth analysis or investigation.-...

  • RCMS Associate II

    2 weeks ago

    Vadodara, Gujarat, India Qualifacts Full time US$ 40,000 - US$ 80,000 per year

    Job Description:RCM Rejection Associate (Intermediate Level)Handle more complex rejection cases that require in-depth analysis or investigation.Collaborate with billing specialists or healthcare providers to address systemic issues contributing to claim rejection.Develop and implement strategies to reduce claim rejection rates and improve overall revenue...

  • RCM Associate II

    2 weeks ago

    Vadodara, Gujarat, India Qualifacts Full time ₹ 1,50,000 - ₹ 28,00,000 per year

    Job Description:Experience Required: Minimum 1–2 years of work experience in the same domain (RCM Rejection/AR/Denial Management).Work Schedule: Must be available to work in the EST time zone.Key Responsibilities:Min 1-2 years of work experience in the same domainHandle more complex rejection cases that require in-depth analysis or...

  • RCM Associate II-2

    2 weeks ago

    Vadodara, Gujarat, India Qualifacts Full time US$ 90,000 - US$ 1,20,000 per year

    Job Description:Job Description: RCM Rejection Associate (Intermediate Level)Experience Required: Minimum 1–2 years of work experience in the same domain (RCM Rejection/AR/Denial Management).Work Schedule: Must be available to work in the EST time zone.Key Responsibilities:Min 1-2 years of work experience in the same domain Handle more complex rejection...

  • RCM Associate II

    2 weeks ago

    Vadodara, Gujarat, India Qualifacts Full time ₹ 1,04,000 - ₹ 1,30,878 per year

    Job Description:Experience Required: Minimum 1–2 years of work experience in the same domain (RCM Rejection/AR/Denial Management).Work Schedule: Must be available to work in the EST time zone.Key Responsibilities:Min 1-2 years of work experience in the same domain Handle more complex rejection cases that require in-depth analysis or...

  • Rcms Agent

    1 week ago

    Vadodara, Gujarat, India Qualifacts Systems, Inc. Full time

    Job Description: RCMS Configuration Associate Responsibilities for the RCMS Configuration Associate - Responsible for setup, enrollment, and maintenance of EDI clearinghouse integrations for multiple software EHR and RCMS services customers - Work with Config team and Account Manager to manage initial access, enrollment, mapping and transition of EDI -...

  • Healthcare Process Associate

    1 week ago

    Vadodara, Gujarat, India Aarogram Full time

    Are you a talented professional with excellent communication skills? We are a fast-growing healthcare technology startup in the RCM space looking to hire a Healthcare Process Associate (RCM) to join our team in Vadodara, Gujarat. We're building our software product that can automate a lot of RCM tasks. We are looking for someone who will provide insurance...

  • Healthcare Process Associate

    6 days ago

    Vadodara, Gujarat, India Aarogram Full time

    Are you a detail-oriented professional with a passion for healthcare technology? Join our fast-growing healthcare technology startup in the Revenue Cycle Management (RCM) space! We’re looking for a **Healthcare Process Associate (RCM)** to join our team and help drive innovation in **front-end RCM automation**. In this role, you will perform insurance...