RCM Specialist - US Healthcare Industry @ Hiring Trendz

Job Description

Urgent | RCM Specialist - US Healthcare Industry

Position: RCM Specialist
Department: Operations
Qualification & Desired Candidate Skills
Intermediate or Bachelor's 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 IST
Responsibilities
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 & coding issues. 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 ensure efficient 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 Insurance Portability and Accountability Act (HIPAA) Other duties as assigned

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Keyskills:   insurance us health care denial handling denial management calling ar management us healthcare appeals ar specialist rcm