RCM AR Specialist
- Mindpool Technologies
- 1 - 5 years
- Pune
- 14 days ago
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Job Description
Job Summary:
Responsible for the overall recovery and management of accounts receivable as it relates to maximizing accounts receivable collections for RCMS clients. The position involves detailed research and follow-up on medical insurance claims and careful preparation of appeals and responses to efficiently interact with insurance carriers and resolve the claim. Supports the RCMS BU's overall Operations and Client Services by efficiently and effectively driving the accounts receivable process and achieving KPI results. No budget responsibilities but must meet established RCM KPI's.
What you will contribute:
Strong customer service skills for client satisfaction and client AR health
- answering client, patient and carrier calls; prompt return and follow up to all interactions; prompt response to requests for information
- Timely management of unpaid claims as assigned, through the use of the clients office management/administrator.
- aging reports; correspondence; Clearinghouse and PM rejections; SharePoint reference/maintenance. Effectively handle complex payer denials; responsible for ensuring that secondary claims are processed and paid Monitoring and reconciliation of claims to include:
- Unbilled vouchers
- Held vouchers
- Denial trends
- Patient balance report
- Credits and refunds
Manage and track information requests to clients.
Answer and resolve all incoming calls and requests in a timely manner
. Complies with and enforces policies and procedures
Achieves goals set forth by RCM management regarding error-free work, transactions, processes, productivity and compliance requirements. Specific goals include 1,400 accounts worked per month
May act as partner for new hires to assist them in learning Other duties as assigned
Thanks & Regards
Job Classification
Industry: IT Services & ConsultingFunctional Area / Department: IT & Information SecurityRole Category: IT SupportRole: IT Support - OtherEmployement Type: Full timeContact Details:
Company: Mindpool TechnologiesLocation(s): Pune
Keyskills: Excellent Verbal And Written Communication Skills Customer Service Account Receivable Billing Recovery Management RCM
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Mindpool Technologies
Founded in 2011, Mindpool Technologies is one of the leading IT Consulting and Workforce Solution providers delivering technology experts & capabilities to its clients from diverse industries across the world.
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