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Job Description
- Build, maintain of process and policy documentation and advise payer project plans, including communication with payer and providers representatives .
- Identifying Revenue Cycle Management and consultations solutions, payers, providers coding issues, etc.
- Ensuring RCM functions that contribute to management and collection of payers’ / providers’ services revenue .
- Improving Revenue Cycle Management Project and Integration of RCM and system claims billing/ health insurance claims.
Activities:
- To perform audits, analysis and identify Payers and Providers opportunities to drive improvement and performance improvement consulting.
Job Requirements
- Bachelor of health information science/ applied Business technology or equivalent is required.
- Minimum 10 years of experience in Revenue Cycle Management
- Understanding of various healthcare insurance carriers and services.
- Strong experiences in healthcare and medical insurance rules, activities and claims.
- Experience in financial process, utilization of medical billing software, healthcare facilities use billing tracking, etc.
- Knowledge of ICD-10, CPT code, state and payer specific rules.