Rcm Associate

2 weeks ago


Vadodara, India Qualifacts Systems, Inc. Full time

Accurately Post all insurance payments by line item
- Ensure all claims are submitted with a goal of zero errors.
- Verify completeness and accuracy of all claims prior to submission.
- Meet deadlines in terms of posting payments
- Reading and interpreting insurance explanation of benefits
- Enter information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information. Ensures claim information is complete and accurate.
- Submit insurance claims to clearing house or individual insurance companies electronically or via paper CMS-1500 form.
- Post insurance and patient payments using medical claim billing software.
- Follow HIPAA guidelines in handling patient information.
- May Verify patient benefits eligibility and coverage.
- Ability to look up ICD 10 diagnosis and CPT treatment codes from online service or using traditional coding references.


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