Executive/Sr. Executive – RCM

6 months to 5 Years of relevant Revenue Cycle Management in Healthcare Setup.

Qualification: Any Graduate

Job Description:

  • Collect, post, and manage patient account payments.
  • Prepare and review patient statements.
  • Identify and resolve patient billing complaints
  • Review delinquent accounts and call for collection purposes.
  • Prepare and submit clean claims to various insurance companies.
  • Process payments from insurance companies.
  • Ensure healthcare facilities are reimbursed for all procedures.
  • Follow up to see if a claim is accepted or denied.
  • Investigate rejected claim to see why denial was issued.
  • Investigate insurance fraud and report if found.
  • Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations
  • Translate patient information and into alphanumeric medical code.
  • Handle information about patient treatment, diagnosis, and related procedures to ensure proper coding.
  • Willing to work in Night Shifts (US Shift 9 PM to 7AM)

Technical Skills:

  • 0.6+ Years of experience in Medical Billing involving Charge Entry, Payment Posting or Cash Posting, AR Caller, Refunds/Adjustments, and Denial Management etc.
  • Knowledge of different coding systems, including Level 1 HCPCS and Level 2 HCPCS.
  • To Sort and file paperwork.
  • To maintain proper backup of data on daily basis.

Other Skills

  • Work independently with minimum supervision and also guide others technically.
  • Well versed with MS Office applications (Word, Excel & PowerPoint etc.)
  • Direct Client handling exposure preferred
  • Excellent time management and prioritization skills
  • Strong interpersonal skills & customer orientation and an unwavering commitment to service quality
  • Excellent command over English – Written & Oral

Salary:

Commensurate with Industry

Preferred

Healthcare industry experience

To apply for this job email your details to mayank@indralok.com