Corp Managed Svcs RCMS Associate AR Follow Up (Hospital Billing)EPIC- Operate

Computer Science Data Analytics Accounting

Preferred Field(s) of Study:

Minimum Year(s) of Experience (BQ) *: US

1 year of experience

Certification(s) Preferred:

Required Knowledge/Skills (BQ):

• Preferred Qualification: Bachelors degree in finance or Any Graduate

• 2-4 years of progressive experience in healthcare revenue cycle management with a focus on accounts receivable and claims resolution.

• Strong knowledge of medical billing processes insurance reimbursement methodologies and revenue cycle operations.

• Experience with healthcare billing software (e.g. Epic Cerner Meditech) and proficiency in Microsoft Office applications.

• Excellent leadership communication and interpersonal skills with the ability to mentor and motivate team members.

• Analytical mindset with the ability to interpret financial data identify trends and make data-driven decisions.

• Proven track record of achieving AR performance targets and improving revenue cycle efficiency.

• Experience Level: 2 to 4 years

• Shift timings: Flexible to work in night shifts (US Time zone)

Preferred Knowledge/Skills *:

Accounts Receivable Management:

• Oversee the accounts receivable process including insurance and patient follow-up to minimize outstanding balances.

• Monitor and analyze aging reports to prioritize and address delinquent accounts promptly.

• Implement strategies to improve collections and reduce accounts receivable days.

Insurance and Payer Relations:

• Lead efforts in resolving complex insurance claim issues including claim denials and underpayments.

• Establish and maintain relationships with insurance company representatives to facilitate prompt payment and claims processing.

• Stay updated on insurance policies reimbursement regulations and industry trends affecting revenue cycle operations.

Patient Communication and Customer Service:

• Assist with escalated patient inquiries and complaints related to billing and insurance matters.

• Educate patients on insurance benefits coverage details and financial responsibilities.

• Collaborate with patient advocacy groups and financial counselors to ensure compassionate and effective patient interactions.

Process Improvement and Training:

• Identify opportunities for process improvements within the revenue cycle management workflow.

• Develop training materials and conduct sessions to enhance the skills and knowledge of AR team members.

• Implement best practices to streamline AR operations and maximize efficiency.

Reporting and Analysis:

• Generate and present regular reports on accounts receivable performance metrics trends and outcomes.

• Utilize data analytics to identify root causes of revenue cycle issues and implement corrective actions.

PMS Experience:

• Epic HB & PB experience is Mandatory

Compliance and Regulatory Adherence:

• Ensure compliance with HIPAA regulations billing guidelines and healthcare industry standards.

• Collaborate with compliance officers to implement and maintain effective internal controls.