Reimbursement Specialist
Total RCM Solutions
- Bangalore, Karnataka
- Permanent
- Full-time
- Experience in accounts receivable follow-up, critical for ensuring timely payments and reducing outstanding dues (Mandatory skill).
- Strong understanding of insurance denials, necessary for resolving payment denials efficiently (Mandatory skill).
- Proficiency in claims resolution to ensure accurate and timely adjudication process (Mandatory skill).
- Familiarity with medical billing processes, vital for handling billing requirements and submissions.
- Expertise in revenue cycle management, which aids in streamlining healthcare financial operations.
- Ability to process clearinghouse rejections and resubmit claims for prompt financial recovery.
- Excellent communication skills to effectively liaise with insurance companies and healthcare providers.
- Analytical skills to identify trends in claim denials and implement strategies for reduction.
- Manage accounts receivable follow-ups to ensure all claims are processed, paid, and posted accurately.
- Analyze and resolve insurance denials by communicating with insurance representatives and resubmitting claims as necessary.
- Perform meticulous claims resolution to improve the cash flow of healthcare providers.
- Collaborate with healthcare providers and billing teams to address billing issues and improve RCM processes.
- Engage in thorough documentation of claim status, denials, and resolutions taken for record-keeping and future reference.
- Provide support and effective communication with patients to resolve their billing inquiries and concerns.
- Stay updated with industry changes and best practices to ensure compliance with billing and coding requirements.
- Contribute to team discussions and provide insights for process improvements and training initiatives.
Expertia AI Technologies