MIS Executive @ Paix Services

Key Responsibilities

• Perform daily, weekly, and monthly reconciliation of patient encounters, charges, claims, payments, and adjustments.
• Validate source files received from clients and ensure all records are processed successfully.
• Compare production data with billing system reports to identify missing or mismatched records.
• Investigate reconciliation variances and coordinate with Coding, Billing, AR, IT, and Client teams for resolution.
• Prepare reconciliation reports and variance summaries.
• Monitor inventory movement and track pending reconciliation items.
• Ensure data accuracy before claim submission and after payment posting.
• Maintain reconciliation trackers, audit logs, and supporting documentation.
• Support month-end closing activities and client reporting.
• Identify process gaps and recommend automation or process improvements.
• Follow HIPAA and organizational data security policies.

Required Skills

• Strong understanding of the Revenue Cycle Management (RCM) process with AR Process knowledge,
• Experience in reconciliation and data validation.
• Advanced Microsoft Excel skills (Pivot Tables, XLOOKUP/VLOOKUP, INDEX-MATCH, Power Query, formulas).
• Good analytical and problem-solving skills.
• Strong attention to detail and accuracy.
• Excellent communication and coordination skills.
• Ability to work with large datasets and meet deadlines.

Preferred Technical Skills

• SQL (basic to intermediate)
• Power BI or Tableau
• Power Query
• VBA/Macros (preferred)
• Healthcare billing applications(e.g., CareCloud, Aprima, Optum, Epic, NextGen, AdvancedMD)

Candidates interested in this opportunity may forward their profiles to [email protected] and WhatsApp - 6385155476