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Revenue Cycle Management Specialist

Shifa Egypt
New Cairo, Cairo
Posted 2 years ago
66Applicants for1 open position
  • 63Viewed
  • 26In Consideration
  • 37Not Selected
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Job Details

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Job Description

 

  • Reviews companies contracts to make sure they are correctly implemented.
  • Tracking the revenue and communication with all companies to make sure that any deduction or suspended revenue is addressed and solved.
  • Addressing rejection reasons on spot with companies weather by an on site meeting or via e-mails, solving them and reporting the problems to RCM Team.
  • Monitor and follow up on pending claims and rejected claims to ensure resolution within a scheduled time frame.
  • Visiting companies periodically in coordination with Collection and Claims departments, taking notes to improve quality of reports and claims.
  • Collaborate with Audit teams to address coding errors, documentation deficiencies, and other issues in claim submission affecting revenue.
  • Conducting regular monthly meetings with Audit Teams to ensure the quality of RCM process.

Job Requirements

  • A bachelor's degree in healthcare administration, finance, or a related field is preferred.
  • Proven experience in revenue cycle management, medical billing.
  • Strong knowledge of medical billing and coding principles, and insurance claim processing.
  • Excellent analytical and problem-solving skills to identify and resolve billing problems.
  • Strong communication and interpersonal skills to collaborate with internal teams, patients, insurance companies.

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