Revenue Cycle Management (Medical Billing)

Specialist RCM (Medical Billing)

at Cube

Please find below description for DETAILS PAGE

WHO ARE WE?

Cube Healthcare Systems is a subsidiary of the Healthcare Technology Company based in Michigan, USA. providing healthcare solutions to the clients in the US. Presently, Cube Healthcare Systems is the largest company at KP IT board, with fast growing healthcare IT services and product base.

As a healthcare solution provider, CHS is successfully carrying out revenue management services for its clients based in the USA. Our product: ALTUMED, a Revenue Cycle Management Software takes Medical Billing to another degree of automation and advancement.

In Pakistan, with the main Office in Abbottabad, business teams are pro-actively making client experience and business a success.

ROLE OVERVIEW:

An A/R Specialist primarily monitors insurance claims by working the work queues and contacting insurance companies to resolve insurance claims that are not paid in a timely manner. Performs specialized duties for the team and assists the Assistant Manager and Manger with daily activities. Maintains a thorough knowledge of tasks performed in the department in order to fulfill the tasks.

RESPONSIBILITIES:

  • Should have the ability to communicate effectively in writing, over the telephone and in person.
  • Initiates contact with patients and/or third party carriers if there is a delay in responding to statements or claims.
  • May process incoming and outgoing mails.
  • May receive incoming telephone calls and resolve issues communicated.
  • Records results of mail and telephone contacts on the computer billing system.
  • Contacts insurance carriers regarding non-payment and/or improper payment of claims.
  • Reviews denials
  • Interfaces with patients, physicians, and others regarding professional billing operations and funds.
  • To prioritize the pending claims for calling from the aging bucket. Should be able to convince the claims company (payers) for payment of their outstanding claims.
  • To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance.
  • Obtaining referrals and pre-authorizations as required for procedures.
  • Answering all patient or insurance telephone inquiries pertaining to assigned accounts.
  • Work on all type of medical and auto claims and have to reimburse them in timeframe.

WHAT ARE WE LOOKING FOR?

  • Must have Graduation/ Masters or equivalent.
  • Should have working knowledge of the entire Revenue Cycle Management (RCM).
  • 2+ years of experience in the US Healthcare Industry.
  • Able to apply understanding of applicable regulations (e.g., HIPAA, SOX, HL7).
  • Has worked with Medicare/ Medicaid insurances.
  • Must have excellent communication skills.
  • Ability to adapt to change, work independently, organize work effectively and take initiative in fast-paced work environment while managing multiple tasks and deliverable simultaneously.
  • Excellent spoken and written communication skills and ability to read and interpret documents.
  • Excellent understanding of the importance of response times and importance of client service.
  • Proficient in relevant computer applications (PC, Microsoft Office Suite, CRM) and good.
  • Must be passionate to work towards collective success through teamwork.
  • Someone who loves to work in the evening shift.

Note: Preference will be given to candidates from Hazara Division, KPK for this specific role.
For more information, please visit:

www.cubehcs.com
https://www.linkedin.com/company/cube-healthcare-systems-pvt-ltd
https://www.facebook.com/Cube-Healthcare-Systems-Pvt-Ltd-100850541921095