RCM (Revenue Cycle Management) Specialist

Full-time Onsite

Role Overview

RCM (Revenue Cycle Management) Specialist plays a critical role in optimizing the financial performance of healthcare organizations by ensuring that billing and coding processes are efficient and compliant with industry regulations. This position requires detailed-oriented professionals who can navigate complex insurance claims and reimbursement processes.

Responsibilities

Responsibilities:

  • Manage and oversee the complete billing process from claim submission to payment collection.
  • Ensure accurate coding and adhere to compliance guidelines for medical billing.
  • Review and resolve denied claims and appeals.
  • Collaborate with healthcare providers to ensure accurate charge capture.
  • Monitor accounts receivables and expedite the recovery of outstanding payments.
  • Prepare regular reports on billing activities, revenue metrics and performance.

  • Stay updated on changes in healthcare regulations and coding guidelines.

     

Qualifications:

  • Bachelor's Degree (Preferred - Pharma & Biotech).
  • Experience in medical billing and coding.
  • Certification in medical billing and coding (e.g., CPC, CCS) preferred.
  • Strong knowledge of healthcare regulations and insurance processes.
  • Proficiency with healthcare billing software and electronic health records (EHR).

 

Skills:

  • Medical coding (ICD-10, CPT, HCPCS)
  • Claims management
  • Revenue cycle management
  • Denials management
  • Insurance verification
  • Data analysis
  • Compliance knowledge
  • Billing software proficiency

Application Form

Please fill out the details below to apply for this position.

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