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Rcm Specialist

4.00 to 9.00 Years   Hyderabad   05 Sep, 2023
Hiring Trendz Placement Services Hiring For Advantum Healthcare
Job LocationHyderabad
EducationNot Mentioned
SalaryRs 4.0 - 7 Lakh/Yr
IndustryMedical / Healthcare
Functional AreaMedical Transcription
EmploymentTypeFull-time

Job Description

    Position: RCM SpecialistDepartment: OperationsQualification & Desired Candidate Skills Intermediate or Bachelors degree Candidate must have 4-6 years of experience in end to end AR process. Candidate with experience in Charge posting & Payment posting will get extra advantage. Strong knowledge of healthcare billing regulations, coding guidelines, and payment systems. Excellent analytical and problem-solving skills. Strong attention to detail and accuracy. Ability to communicate effectively with insurance companies, patients, and other stakeholders. Ability to work independently and as part of a team. Proficient in Microsoft Office and other relevant software applications Shift Timings: 6:00 PM IST to 3:00 AM ISTResponsibilities Manage and oversee the revenue cycle process, from charge capture to payment posting Review and analyze claims for accuracy and completeness before submitting to payers Ensure compliance with billing regulations and guidelines Identify and resolve issues with denied or rejected claims Follow up on unpaid claims and collections to ensure timely payment Communicate with insurance companies, patients, and stakeholders to resolve billing & codingissues. Work with healthcare providers to ensure accurate charge capture and documentation Analyze billing and payment data to identify trends and opportunities for improvement Collaborate with other healthcare professionals, such as physicians and nurses, to ensureefficient and effective revenue cycle management Stay up-to-date on changes to healthcare regulations, coding guidelines, and payment systems Ability to handle Protected Health Information in a manner consistent with the Health InsurancePortability and Accountability Act (HIPAA) Other duties as assigned

Keyskills :
physician billingus health caredenial managementpayment postingar calling

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