Opening For freshers & MBA graduates - RCM
- Prochant
- 0 - 2 years
- Chennai
- 4 years ago
- Email to a friend
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Job Description
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Warm Greetings from Prochant Group!!
Industry Medical Billing
Domain US Healthcare
Shift Timing 6.30 PM to 3.30 AM (Dinner provided)
Working Days 5 days a week (Fixed weekend off)
Process Revenue Cycle Management
he RCM Specialist has the tri-fold role of Accounts Receivable follow up, Payment Posting and Charge Entry processing. As such, the position is responsible for the overall recovery and management of the clients Revenue Cycle. Along with the responsibilities associated with accurately entering charges, posting payments and the subsequent recovery of revenue, the position optimizes all phases of RCM. Additionally, the position supports the companys overall Operations and Client Services departments by efficiently and effectively driving the Revenue Cycle Management process and delivering results.
Duties & Responsibilities:
- Strong customer service skills; 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 manager; aging reports; correspondence; Clearinghouse and PM rejections; SharePoint
- Effectively handle complex payer denials; responsible to ensure that secondary claims are sent and paid
- Monitoring and reconciliation of claims
- Timely posting of payments and identifying adjustments and differences in payments
- Expert ability to input specific data and review patients issues and credits
- Knowledgeable of medical EOBs, patient deductibles and co pays, and insurance or third party correspondence
- Ability to conduct a contract rate audit and provide notification to Supervisor of underpaid or pay equal charges; provide Claim Edit Reports and Unassigned Money Reports as requested
- Effectively work with clients and group to facilitate information and resolve charge questions
- Capable to create a credit/debit report and denial reports in order to provide critical information to the AR Specialist
- Expert ability to add specific data such as modifiers, payer specific information, including authorization criteria, CPT and ICD-9 code and date of injury (DOI)
- Understand and interpret the Correct Coding Initiative (CCI) as it applies to charge entry work with CHMB
- Timely and efficient input and reconciliation of batches
- Responsible for the processing and discrepancy reconciliation and closing of charge batches across all systems
- Work with clients and group to facilitate information and resolve charge questions
- Achieve goal of a 48-hour turnaround batch time
- Complies and enforces and policies and procedures
- Achieve goals set forth by supervisor regarding error-free work, transactions, processes and compliance requirements; Specific goals include 1,400 accounts worked per month
- Other duties as assigned
Skills required
* Candidates with other UG Qualification with very good communication skills can also apply
* Should be flexible working in night shifts
Benefits
Fixed weekend off
Dinner Provided - ESI and PF benefits
Contact - ch**********v@pr*****t.com
Location - Prochant India Pvt Ltd(Formerly Prometheus Group)
Block 3, Ground floor,
DLF IT Park, Porur,
Chennai 600 089
Kindly visit our website - www.prochant.com/india to get further insights about us
Job Classification
Industry: BPO, Call Centre, ITeSFunctional Area: ITES, BPO, KPO, LPO, Customer Service, Operations,
Role Category: Voice
Role: Voice
Employement Type: Freshers
Education
Under Graduation: Any Graduate in Any SpecializationPost Graduation: MBA/PGDM in Finance
Doctorate: Other Doctorate
Contact Details:
Company: PROCHANT INDIA PRIVATE LIMITEDAddress: DLF IT Park, Block 3 - Ground Floor, 1/124, Chennai, Tamilnadu, India
Location(s): Chennai
Keyskills: Biotechnology Nursing Good communication Pharma Fluent Healthcare Medical US Healthcare Voice Process Medical Billing Medical Coding
Prochant
The industry's leading HME billing and process outsourcing companyFor 20 years, Prochant has helped HME providers outsource their billing processes to achieve greater profitability. Based in Charlotte, North Carolina, we offer you a unique combination of billing industry veterans and proprietary...
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