Open Positions Sm/manager/dm/am - Hyderabad
- Primera Medical
- 9 - 14 years
- Hyderabad
- 3 years ago
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Job Description
Roles
Reviewing claim and payment information by reviewing payor contracts. Identify potential individual underpayments and trends. Investigate third party payor policies and contracts to verify accuracy of underpayment variances according to published payor guidelines. The position requires expertise in payer contract interpretation and reimbursement.
Job Description
- Have prior experience in adjudicating the claim
- Contract Loading
- Contract Building
- Good understanding of entire RCM cycle with special emphasis on Billing and Collections
- Experience working with payers including Medicare, Medicaid, and commercial insurance
- Basics understanding of payor payment methods viz.. Fee Schedule, RCC, Case rate
- Prior exposure on EPIC, Meditech
- Prior experience working in Denial management (Hospital)
- Ability to read and understand complex contract terms.
- Strong Mathematical and Analytical Skills
- Graduate Degree in any stream
- Excellent communication skills, both written and verbal
- Must be flexible to work in shifts
In case if you are interested please share your profile on KM****3@pr************e.com along with Notice Period, Current and Expected Salary.
Job Classification
Industry: KPO, Research, AnalyticsFunctional Area: ITES, BPO, KPO, LPO, Customer Service, Operations,
Role Category: Senior Management
Role: Senior Management
Employement Type: Full time
Education
Under Graduation: Any Graduate in Any SpecializationPost Graduation: Any Postgraduate in Any Specialization
Contact Details:
Company: PrimEra MedicalAddress: 1-98/9/6/MT/9-A,B and C,9TH FLOOR,MELANGE TOWER,NO, . 23/37,MADHAPUR, , Hyderabad, Telangana, India
Location(s): Hyderabad
Keyskills: Revenue Cycle Management Claim Payment Billing RCM
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