RCM (Revenue Cycle Management) Specialist
Infocity, Gandhinagar, Gujarat
Full-time
Job Description
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:
- 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