- 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.
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.