Wissenpro It Solutions

RCM Specialist

Wissenpro It Solutions

Mumbai, Maharashtra, India · Full Time

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Experience
1–4 yrs
Salary
INR 400,000 – INR 450,000 / year
Openings
1
Posted
منذ ساعتين
Work mode
In office
Education
Any graduate
Eligibility
Any graduate degree holders are eligible to apply.
Resume
Required to apply

Where you'll work

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Job description

About the Company

WissenPro is a Human Resources services provider with over ten years of experience placing candidates in top multinational corporations such as Wipro, Amazon, Tech Mahindra, Genpact, and Concentrix across various locations in India. Their service portfolio includes recruitment, onboarding, employee engagement, performance management, compensation, training, HR administration, compliance, legal support, policy formulation, and employee relations.

Role Overview

The position available is for an experienced Accounts Receivable (AR) Caller specializing in US Healthcare Revenue Cycle Management (RCM). This role focuses on managing accounts receivable, medical billing, denial and claims management, collections, and payment postings within the US healthcare system.

Key Responsibilities

  • Perform Accounts Receivable calling and follow-up related to US healthcare insurance claims.
  • Manage denial resolution processes to address rejected claims effectively.
  • Conduct insurance claims follow-up and payment posting to ensure accurate financial recording.
  • Collaborate with US insurance providers to resolve outstanding receivables and maximize reimbursements.
  • Engage in collections activities as part of revenue maximization.

Candidate Requirements

  • 1 to 4 years of hands-on experience in US Healthcare Revenue Cycle Management.
  • Familiarity with Accounts Receivable, Denial Management, Claims Adjudication, and Medical Billing.
  • Proficient in interacting with US insurance companies and processes related to denied claim resolutions.
  • Strong communication skills, particularly for voice processes in a US healthcare environment.
  • Willingness to work US shifts onsite at the Airoli location is highly preferred.
  • Any graduate academic qualification is necessary.

Eligibility

Applicants must be graduates to apply for this role.

Minimum education

Bachelor's Degree

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