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
Responsibilites
- 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
