RCM/ AR Specialist

SPRY

0 years

0 Lacs

Pune Maharashtra India

Posted:1 month ago| Platform:

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Skills Required

billing reconciliation reports healthcare compliance regulations report

Work Mode

On-site

Job Type

Full Time

Job Description

Location- Balewadi Highstreet Time: 6:00 PM to 3:00 AM Key Responsibilities: Review and verify patient information, insurance details, and treatment codes before billing. Prepare and submit clean claims to insurance companies, government payers (Medicare/Medicaid), or patients. Handle charge entry, payment posting, and account reconciliation. Follow up on unpaid or denied claims and initiate appeals or corrections as needed. Work on aging reports to reduce Accounts Receivable (AR) days. Communicate with insurance companies, patients, and healthcare providers for claim resolution. Ensure compliance with industry standards, payer-specific requirements, and HIPAA regulations. Identify and report recurring issues or process gaps affecting claim performance. Show more Show less

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