Associate, RCM (IPD)

Job Summary

The RCM Associate will be responsible for managing all aspects of the revenue cycle, including billing, coding, and collections. A successful candidate will have a strong understanding of healthcare billing regulations, coding guidelines, and payment systems.

Qualifications

• Bachelor s degree in healthcare administration, business administration, or a related field.
• Minimum of 2 years of experience in healthcare revenue cycle management.
• Strong knowledge of healthcare billing regulations, coding guidelines, and payment systems.
• Excellent analytical and problem-solving skills.
• Strong attention to detail and accuracy.
• Ability to communicate effectively with insurance companies, patients, and other stakeholders.
• Ability to work independently and as part of a team.
• Proficient in Microsoft Office and other relevant software applications.

Responsibilities

• Manage and oversee the revenue cycle process, from charge capture to payment posting.
• Review and analyze claims for accuracy and completeness before submitting to payers.
• Ensure compliance with billing and coding regulations and guidelines.
• Identify and resolve issues with denied or rejected claims.
• Follow up on unpaid claims and collections to ensure timely payment.
• Communicate with insurance companies, patients, and other stakeholders to resolve billing and coding issues.
• Work with healthcare providers to ensure accurate charge capture and documentation.
• Analyze billing and payment data to identify trends and opportunities for improvement.
• Collaborate with other healthcare professionals, such as physicians and nurses, to ensure efficient and effective revenue cycle management.
• Stay up-to-date on changes to healthcare regulations, coding guidelines, and payment systems.
• Ability to handle Protected Health Information in a manner consistent with the Health Insurance Portability and Accountability Act (HIPAA).
• Other duties as assigned

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