RCM -Multiple position

Job description

JD for Patient Financial Services Team

• Handle patient billing and account-related queries
• Work on insurance verification, claims follow-up, and payment posting support
• Review and resolve patient account issues
• Maintain accuracy and quality as per process standards
• Coordinate with internal teams for billing and collections support
• Follow US Healthcare compliance and process guidelines

JD for Payment Posting Team

• Post payments received from insurance companies and patients into the system
• Verify payment details against submitted claims and billed charges
• Identify and analyze underpayments, overpayments, and denials
• Reconcile accounts to ensure accurate financial records
• Maintain proper documentation of all payment transactions
• Coordinate with AR and billing teams for discrepancies resolution
• Ensure timely and accurate completion of payment posting tasks

JD for Insurance Follow Up/Accounts Receivable Team

• Proactively follow up with insurance companies to resolve outstanding claims and pending payments
• Handle communication with insurance company through outbound calls, IVR systems, and written appeals
• Investigate claim denials, underpayments, and delays, and take appropriate action to resolve them
• Ensure accuracy and completeness of all payment postings and claim details
• Review patient accounts, billing information, and balances to identify discrepancies.

JD for Charge posting/Billing Team

• Capture and enter diagnoses and procedures rendered by physicians into the billing system (Fee Ticket)
• Review and verify patient encounter forms and clinical documentation for accuracy
• Ensure correct CPT, ICD, and HCPCS coding alignment (as applicable)
• Identify and resolve discrepancies in charge entries
• Maintain accuracy and completeness of charge posting records
• Coordinate with coding and billing teams for clarification when required
• Meet productivity and quality benchmarks set by the organization.