RCM Specialist

Lyros Technologies Pvt Ltd-CMMI Level 3; Hyderabad; On-site; INR 350,000 - 550,000; Full time

Job summary

Shine.com is recruiting a dedicated RCM Specialist to support the revenue cycle for healthcare providers in Andhra Pradesh. The role emphasizes international voice processes, AR calling, and physician hospital billing to ensure compliant and efficient billing practices.

The ideal candidate will manage end-to-end billing, verify insurance, perform collections, and analyze data to identify improvement opportunities while staying current with industry regulations.

Qualifications

• Strong knowledge of the international voice process and its application in healthcare billing.
• Proficiency in AR calling techniques and strategies.
• Familiarity with physician hospital billing processes and regulations.
• Excellent communication and interpersonal skills to interact with clients and providers.
• Ability to analyze data and generate reports to support decision-making.

Responsibilities

• Manage the end-to-end revenue cycle process, including patient registration, insurance verification, billing, and collections.
• Conduct AR calling to follow up on outstanding claims and resolve any billing discrepancies.
• Collaborate with healthcare providers to ensure accurate and timely billing practices.
• Analyze billing data to identify trends and areas for improvement in the revenue cycle.
• Stay updated on industry regulations and best practices to ensure compliance.

Skills

International voice process

AR calling

Physician hospital billing

Data analysis

Communication skills

Job description

We are seeking a dedicated RCM Specialist to join our team in Andhra Pradesh. The ideal candidate will play a crucial role in managing the revenue cycle for healthcare providers, ensuring that billing processes are efficient and compliant with regulations. This position requires a strong understanding of the international voice process, accounts receivable (AR) calling, and physician hospital billing.

Key Responsibilities:

• Manage the end-to-end revenue cycle process, including patient registration, insurance verification, billing, and collections.
• Conduct AR calling to follow up on outstanding claims and resolve any billing discrepancies.
• Collaborate with healthcare providers to ensure accurate and timely billing practices.
• Analyze billing data to identify trends and areas for improvement in the revenue cycle.
• Stay updated on industry regulations and best practices to ensure compliance.

Required Skills:

• Strong knowledge of the international voice process and its application in healthcare billing.
• Proficiency in AR calling techniques and strategies.
• Familiarity with physician hospital billing processes and regulations.
• Excellent communication and interpersonal skills to effectively interact with clients and healthcare providers.
• Ability to analyze data and generate reports to support decision-making.

This job is provided by Shine.com