Medical Billing and Rcm Executive

1 day 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 12 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.

**Salary**: ₹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: 2 years (preferred)
- working in Night Shift: 2 years (preferred)
- Authorization/Benefits: 1 year (preferred)

Work Location: Remote



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