Found Description
Description
• Thorough understanding of RCM processes like Billing, Cash Posting, Credit Balance, Accounts Receivables, Denial Management & Correspondence review
• Very good understanding of RCM metrics like Days in AR, Ageing above 90 days, Collections and bad debt
• Perform Quality checks/audits on all claims processed as per quality policy or as per client SOP
• Responsible for getting the claims processed in compliance to the billing rules mentioned and ensure all errors are identified in QA and actions initiated before the claim is rebilled to the insurance
• Implement Lean Six sigma mythologies to improve the accuracy of the processes
• Consistently review the audit parameters and modify as per the necessary requirement
• Prepare daily, weekly & monthly audit metrics reports and share it with leadership
• Conduct analysis and present summary of findings to leadership in a clear, concise, convincing and actionable format
• Es...