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RCM Specialist Jobs in Hyderabad - Magna Infotech Pvt Ltd

RCM Specialist

Magna Infotech Pvt Ltd
experience-icon 0 Years
salary-icon Not disclosed
Expired

Posted: 16 Dec 19

Job Description

Education background: B.Pharma/ M Pharma (Mandatory) - 2017 onwards Pass out

Exp level: fresher.

Night shift

Cab Facility Available

Duties & Responsibilities:
  • Strong customer service skills; answering client, patient and carrier calls; prompt return and follow up to all interactions; prompt response to requests for information
  • Timely management of unpaid claims as assigned, through the use of the client’s office manager; ageing reports; correspondence; Clearinghouse and PM rejections; SharePoint
  • Effectively handle complex payer denials; responsible to ensure that secondary claims are sent and paid
  • Monitoring and reconciliation of claims
  • Timely posting of payments and identifying adjustments and differences in payments
  • Expert ability to input specific data and review patients’ issues and credits
  • Knowledgeable of medical EOB’s, patient deductibles and co-pays, and insurance or third party correspondence
  • Ability to conduct a contract rate audit and provide notification to Supervisor of underpaid or pay equal charges; provide Claim Edit Reports and Unassigned Money Reports as requested
  • Effectively work with clients and group to facilitate information and resolve charge questions
  • Capable to create a credit/debit report and denial reports in order to provide critical information to the AR Specialist
  • Expert ability to add specific data such as modifiers, payer-specific information, including authorization criteria, CPT and ICD-9 code and date of injury (DOI)
  • Understand and interpret the Correct Coding Initiative (CCI)  as it applies to charge entry work with CHMB
  • Timely and efficient input and reconciliation of batches
  • Responsible for the processing and discrepancy reconciliation and closing of charge batches across all systems
  • Work with clients and group to facilitate information and resolve charge questions
  • Achieve the goal of a 48-hour turnaround batch time
  • Complies and enforces and policies and procedures
  • Achieve goals set forth by supervisor regarding error-free work, transactions, processes and compliance requirements; Specific goals include 1,400 accounts worked per month
  • Other duties as assigned

Job Particulars

Role others
Education B.Pharm, M.Pharm
Who can apply Freshers
Hiring Process Written-test, Face to Face Interview
Employment TypeFull Time
Job Id791550
Job Category Others
Locality Address
State Telangana
Country India

About Company

About Magna Infotech: We are the largest IT staff augmentation provider in India, with 10,000+ employees spread across 500+ skill sets. Through our team of 500+ experienced recruiters, we provide the entire range of staff augmentation services to our 300+ clients spread across various industries, including BFSI, IT/ITES Services, Automotive and Engineering, Telecom, Healthcare, and FMCG & Retail.
Magna Infotech is a division of Quess Corp Limited, India’s leading business services provider established in 2007. Headquartered in Bengaluru, Quess Corp has a PAN-India presence with 52 offices across 27 cities, as well as operations in Canada, USA, South America, UAE, Sri Lanka, Malaysia, Singapore, Philippines and Vietnam. It serves 1700+ customers across 5 segments, namely: Global Technology Solutions, People & Services, Integrated Facility Management, Industrials and Internet Business.
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