Remote RCM Assistant

RCM Assistant

Work Location: Remote, India

The RCM Specialist is responsible for handling and transferring patient information, submission of claims to insurance companies, and ensuring that the payments for medical services are received promptly. They are also responsible for maintaining the confidentiality of patient information and following up with the insurance providers for payment delays, handling claim rejections, and denial management.

Responsibilities

• Perform charge and demo entries
• Review bills for accuracy and completeness and obtain any missing information
• Knowledge of insurance guidelines especially Medicare and state Medicaid
• Follow up on unpaid claims within the standard billing cycle timeframe
• Check each insurance payment for accuracy and compliance with the contract
• Handle Claim Rejections and manage Claim Denials
• Research payor rules and regulations to maintain current payor knowledge

Qualifications/Skills

• Bachelor’s degree with minimum 2 years of work experience in medical billing
• Experience with US-based clinics/hospitals is a must
• Experience in internal medicine
• Experience in demo and charge entries, accounts receivable and denial management is a must
• Excellent English professional writing skills; including advanced proficiency in grammar and spelling
• Ability to work independently in a secure and private location with a reliable high-speed internet connection
• Ability to participate in live audio/video chats and screen-sharing sessions