Senior Revenue Cycle Billing Specialist

Job Description

About FirstsourceFirstsource Solutions is a leading provider of customized Business Process Management (BPM) services. Firstsource specialises in helping customers stay ahead of the curve through transformational solutions to reimagine business processes and deliver increased efficiency, deeper insights, and superior outcomes.We are trusted brand custodians and long-term partners to 100+ leading brands with presence in the US, UK, Philippines, India and Mexico. Our rightshore delivery model offers solutions covering complete customer lifecycle across Healthcare, Telecommunications & Media and Banking, Financial Services & Insurance verticals. Our clientele includes Fortune 500 and FTSE 100 companies Job Title: Senior Revenue Cycle Billing SpecialistJob Type: Full Time Function/Department: Receivables ManagementReporting to: Team Leader -Operations Role Description: The primary objective of the Senior Revenue Cycle Billing Specialist is to effectively recover outstanding payments from aging medical insurance claims, whether working in an office setting or directly at the client's location. Roles & Responsibilities

JOB DESCRIPTION

Designation : Senior Revenue Cycle Billing Specialist AR caller – RCM, US healthcare

Department : Operations

Location : Chennai
Report to : Team Leader, Operations.
Work Set-up: Work from Office

WORK BRIEF:

To perform the job successfully, an individual must be able to perform each essential duty satisfactorily. The goal of the Sr. Revenue Cycle Billing Specialist is to successfully collect on aging medical insurance claims. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

CORE RESPONSIBILITIES

1. File claims using all appropriate forms and attachments.

2. Research account denials and file written appeals, when necessary.

3. Evaluate the information received from the client to determine which insurance to bill and attain necessary attachments or supporting documentation to send with each claim.

4. Research account information to determine the necessary attachments or supporting documentation to send with each claim.

5. Document in detail all efforts in CUBS system and any other computer system necessary.

6. Verify patient information and benefits.

Essential Knowledge:

Basic knowledge of using MS office basic applications like Word, PowerPoint, Excel, Notes, etc.

Essential Skills:

Min 2 Years of experience in accounts receivable follow-up / denial management for US healthcare customers

Fluent verbal communication abilities

Knowledge on Denials management and A/R fundamentals will be preferred

Willingness to work in night shifts from office

Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage

Knowledge of Healthcare terminology and ICD/CPT codes will be considered a plus

MINIMUM QUALIFICATION:

Graduate with minimum 2 Years of AR calling experience in US Healthcare market

B Com/BCA/BA/BAF/BBI/BBM/BMS courses ONLY

PG/Pursuing – NOT Accepted for this role.

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