Revenue Cycle Management

Job Description

Responsible for overseeing all aspects of the revenue cycle, including patient registration, insurance verification, charge capture, coding, billing, and collections. Monitor and manage claims submissions, payments, denials, coding compliance and appeals processes. Ensure accurate and timely processing of medical claims to insurance companies and other third parties.

Key Responsibilities

• Analyze medical reports, patient records, and claims submissions.
• Verify the accuracy of the information provided by all stakeholders.
• Ensure that claims adhere to the terms of the insurance policy.
• Maintain accurate records of claim evaluations, approvals, and denials.
• Record Keeping and Reporting.
• Maintain accurate and detailed records of claims assessments and processing activities.
• Ensure compliance with regulatory requirements and company policies.

Skills

• Good Communication Skills
• Microsoft office software (Excel, Word, etc.).
• Problem-Solving Skills
• ICD – 10 Coding is preferred
• Data Analytics
• Ability to work independently and as part of a team.

Education

Bachelor’s degree in healthcare administration, insurance, or medical background