Job Title: Pediatrics -Medical Billing & Collection/AR Specialist with eClinicalWorks EMR
Location: Work from Home (Hyderabad)
Night Shifts 6:30 PM to 3:30 AM IST
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Job Description:
We are seeking a dedicated and experienced Healthcare RCM Specialist for Accounts Receivable, denial management, and Insurance verification. The ideal candidate will possess strong teamwork skills, a comprehensive understanding of healthcare revenue cycle management, and a proven track record of optimizing accounts receivable processes. The candidate will be responsible for managing and ensuring timely and accurate billing, claims processing, payment posting, and denial management.
Responsibilities:
- Expertise in Pediatric and General Medicine ( Internal Medicine )
- Expertise in EMR like eClinicalWorks
- Experience in Rural Health Center (RHC) billing is an added advantage.
- Knowledge of HEDIS measures is highly valued.
- 4+ years of experience in medical revenue cycle management and AR calling & Insurance verification.
- 4+ Years of experience in accounts receivable follow-up/denial management for US healthcare customers.
- Escalate difficult collection situations to management on time.
- Review provider claims that have not been paid by insurance companies
- Handling patient’s billing queries and updating their account information.
- Post cash and write off the contractual adjustments accordingly while working on the accounts.
- Familiarity with payer websites to verify claim status, eligibility, and coverage details.
- Basic knowledge of claim form 1500 and other healthcare billing forms.
- Proficiency in medical coding tools such as CCI and McKesson.
- Fluent verbal communication abilities / call center expertise
- Comfortable working in Night Shifts.
- Ready to join immediately or within a 7-day notice period.