Senior Revenue Cycle Billing Specialist

JOB DESCRIPTION

Designation:         AR caller – RCM, US healthcare
Department:        Operations
Location:               Chennai
Report to:             Team Leader, Operations.
Work Set-up:        Work from Office

WORK BRIEF:

To perform the job successfully, an individual must be able to perform each essential duty satisfactorily. The goal of the Sr. Revenue Cycle Billing Specialist is to successfully collect on aging medical insurance claims.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

CORE RESPONSIBILITIES

•  File claims using all appropriate forms and attachments.

• Research account denials and file written appeals, when necessary.

• Evaluate the information received from the client to determine which insurance to bill and attain necessary attachments or supporting documentation to send with each claim.

• Research account information to determine the necessary attachments or supporting documentation to send with each claim.

• Document in detail all efforts in CUBS system and any other computer system necessary.

• Verify patient information and benefits.

Essential Knowledge:

• Basic knowledge of using MS office basic applications like Word, PowerPoint, Excel, Notes, etc.

Essential Skills:

• Min 2 Years of experience in accounts receivable follow-up / denial management for US healthcare customers
• Fluent verbal communication abilities
• Knowledge on Denials management and A/R fundamentals will be preferred
• Willingness to work in night shifts from office
• Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage
• Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus

MINIMUM QUALIFICATION:

• Graduate with minimum 2 Years of AR calling experience in US Healthcare market
• B Com/BCA/BA/BAF/BBI/BBM/BMS courses ONLY
• PG/Pursuing – NOT Accepted for this role.