RCM Specialist - Quality
New
IndiaFull-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- Minimum 2 years
Requirements
- Minimum 2 years of experience in revenue cycle management within the DME/HME healthcare domain.
- Strong hands-on experience in accounts receivable follow-up and denial management processes.
- Good understanding of US healthcare payer systems, including Medicare, Medicaid, and commercial insurance.
- Excellent written and verbal communication skills for effective coordination.
- Strong analytical, problem-solving, and attention-to-detail capabilities.
- Ability to work independently as well as in a team-oriented environment.
- Strong organizational and time management skills.
- Familiarity with healthcare billing regulations, coding standards, and reimbursement guidelines.
- Brightree software experience is highly preferred.
- Exposure to auditing or quality control processes is an advantage.
- Bachelor’s degree is preferred.
Responsibilities
- Manage end-to-end revenue cycle processes for DME/HME services, including billing accuracy, claims submission, and payment posting.
- Perform accounts receivable follow-up and denial management to resolve outstanding claims and reduce AR aging.
- Ensure compliance with US payer guidelines, including Medicare, Medicaid, and commercial insurance requirements.
- Collaborate with billing, coding, and compliance teams to support accurate and compliant claim submissions.
- Monitor industry updates related to coding, billing regulations, and reimbursement policies to ensure operational alignment.
- Support internal and external audit activities by ensuring documentation accuracy and compliance adherence.
- Conduct quality control reviews and recommend process improvements to enhance billing efficiency and accuracy.
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