Executive / Sr. Executive - RCM ( Revenue Cycle Management)

4 days ago

Vadodara, Gujarat, India myOnsite Healthcare. Full time ₹ 40,00,000 - ₹ 1,20,00,000 per year

Location: Vadodara Office

Timing: 6 pm to 4 am IST ( US shift)

Key Responsibilities:

l Perform pre-call analysis and check status by calling the payer or using IVR or web portal services.

l Maintain adequate documentation on the in-house software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference.

l Record after-call actions and perform post call analysis for the claim follow-up.

l Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments.

l Manage A/R accounts by ensuring accurate and timely follow-up.

Job Requirements:

l 1-2 Years of experience in accounts receivable follow-up / denial management for US healthcare.

l A brief understanding on the entire Medical Billing Cycle.

l Must possess good communication skill with neutral accent.

l Must be flexible and should have a positive attitude towards work.

l Must be willing to work in Night Shifts.

l Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus.

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