RCM Associate

We are seeking an experienced RCM Associate to join our team. The ideal candidate should have 1-2 years of hands-on experience in Revenue Cycle Management (RCM). The role requires a strong understanding of medical billing and expertise in the following domains of RCM: Billing, Payments, Accounts Receivable (AR) and Credentialing.

Responsibilities:

· To have at least a good expertise in one of the domains in Revenue cycle Management such as Billing, Payments, AR, and Credentialing

· To read and interpret Explanation of Benefits (EOB) from various insurance providers.

· To Post payments to patient accounts, Process patient payments and reconcile with minimal errors.

· Make necessary adjustments when posting payments for Medicare, Medicaid, PPOs, and other insurances.

· To Resolve any underpayments or payment discrepancies accurately and promptly.

· To balance assigned batches in the Practice Management System daily.

· To report any batch issues to the manager or supervisor for prompt resolution.

· To ensure patient information is accurately and completely entered into the EPM.

· To review patient admitting records and extract relevant information.

To complete the billing cycle according to standard work practice as explained during the training.
To be able to work independently with minimal supervision from the Team Captain.
To check and respond to emails in a timely and professional manner.
To perform any other duties as instructed by Team Capitan.
· To complete all training tracks in due course.

· To complete daily, weekly and monthly tasks assigned by the team Capitan.

· Assisting your team Capitan in daily, weekly, and monthly tasks.

· To attend and pass all the internal training sessions.

· To have a complete understanding of the assigned practices.

· To understand and adhere to all company policies.

To fully understand the workflow of AltuMed (Medical Billing Software) and other EPMs.
· To understand work through EHR, LIS, and web portals.

· To understand and adhere to all HIPPA compliances.

Qualifications:

Bachelor’s or Master’s Degree in science preferably D- Pharm, Physiology Biochemistry, BBA, MBA. Etc.
Candidates with 1 to 2 years of the medical billing Industry.
· Excellent domain knowledge of the US- Healthcare Industry.

· Ability to read, analyse and interpret complex documents.

· Extensive knowledge of the use of email, search engine, Internet; ability to effectively use payer websites.

· Proficient with Microsoft products (Excel, Word, Outlook).

· Comfortable working in a target-oriented atmosphere.

· Ability to work under pressure and complete the project by meeting the deadlines.

· Excellent interpersonal communication skills and should be a good team player.

· Must be detail-oriented, highly organized, and results-driven.

· Critical Thinking and a can-do attitude.

· Excellent Typing and work process speed.

KEY PERFORMANCE INDICATORS:

· No. of Patients and Claims Submitted.

· Resolving Rejection and Denial Management.

· Timing, attendance, and punctuality.

· Learning ability on Billing Software.

· Daily productivity reports with no Errors and completed tasks.

· Coordination and cooperation within the team.

· Claims passed through the first submission.

Job Type: Full-time

Pay: Rs45,000.00 - Rs60,000.00 per month

Application Deadline: 31/12/2024
Expected Start Date: 01/01/2025