RCM AR Specialist

Job Summary

RCM AR Specialist

Work Location - Pune (Work from office)

Shift Timing - 7.30 PM to 4.30 AM

Responsibilities

• Strong customer service skills for client satisfaction and client AR health - 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 client's office management/administrator; aging reports; correspondence; Clearinghouse and PM rejections; SharePoint reference/maintenance
• Effectively handle complex payer denials; responsible to ensure that secondary claims are processed and paid
• Monitoring and reconciliation of claims to include: Held vouchers; Unbilled vouchers; Denial trends; Patient balance report; Credits and refunds
• Manage and track information requests to client.
• Answer and resolve all incoming calls and requests in a timely manner.
• Complies with and enforces policies and procedures
• Achieves goals set forth by RCM management regarding error-free work, transactions, processes, productivity and compliance requirements. Specific goals include 1,400 accounts worked per month
• May act as partner for new hires to assist them in learning
• Other duties as assigned

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