Revenue Cycle Management
RCM Senior Specialist SS-3
Shift Time: Evening (Abbottabad)
JOB Description
RCM Team Lead is an expert in medical billing and has good knowledge in all domains in Revenue cycle Management such as Billing, Payments, AR and Credentialing. As a TL, the candidate must have whole RCM knowledge, good command of Part A and Part B Billing. you will be responsible for assigned complete practice health and helping Manager In achieving the assigned practice target.
Responsibilities
- To ensure patient information is accurately and completely entered into the EPM.
- To review patient admitting records and extract relevant information.
- To complete the billing cycle according to standard work practice as explained during the training.
- To be able to work independently without supervision from the Manager.
- To check and respond to emails in a timely and professional manner.
- To perform any other duties as instructed by Manager.
- To complete all training tracks in due course.
- End to End responsible for the assigned practice and achieving MAGMA standards.
- To complete daily, weekly and monthly tasks assigned by the Manager.
- Assisting your Manager in daily, weekly and monthly tasks.
- To attend and pass all the internal training sessions.
- To have a complete understanding of the assigned practices.
- To understand and adhere to all company policies.
- To be able to work independently with minimal supervision from the Manager.
- To fully understand the workflow of AltuMed (Medical Billing Software) and other EPMs.
- To understand work through EHR, LIS, and web portals.
- To understand and adhere to all HIPPA compliances.
- To have the flexibility of weekends or overtime.
Qualifications
- Bachelor’s or Master’s Degree in science preferably D- Pharm, Physiology Biochemistry, BBA, MBA. Etc.
- Candidates with 6 years to 9 years in the medical billing Industry.
- Excellent domain knowledge of the US- Healthcare Industry.
- Ability to read, analyze and interpret complex documents.
- Extensive knowledge of the use of email, search engine, Internet; ability to effectively use payer websites.
- Proficient with Microsoft products (Excel, Word, Outlook).
- Comfortable working in a target-oriented atmosphere.
- Ability to work under pressure and complete the project by meeting the deadlines.
- Excellent interpersonal communication skills and should be a good team player.
- Must be detail-oriented, highly organized, and results-driven.
- Critical Thinking and a can-do attitude.
- Excellent Typing and work process speed.
KEY PERFORMANCE INDICATORS
- No. of Patients and Claims Submitted.
- Resolving Rejection and Denial Management.
- Timing, attendance and punctuality.
- Learning ability on Billing Software.
- Daily productivity reports with no Errors and completed tasks.
- Coordination and cooperation within the team.
Benefits
Market-Leading Salary, Medical insurance, Provident fund, EOBI, Paid Leaves, cash advance, Employee Performance based bonuses, Annual increments, Allowances ( Accommodation, OPD, Travel, Night, utilities, Technical ), Parental Leaves, Annual dinners & trips
Note: Preference will be given to candidates from Hazara Division, KPK for this specific role. However, candidates from all over the Pakistan are welcomed.