Overview

Medical Billing Service / Revenue Cycle Management Expert | Work From Home Job at Vericle – in Delhi, Delhi

Job Description

Vericle Corporation, a US-based parent company is looking for a full-time Software Quality Assurance Engineer. Vericle offers cloud-based medical practice management software, including Electronic Healthcare Records, and Revenue Cycle Management Services.

RESPONSIBILITIES

Build and manage the RCM Quality Assurance process, including

Billing error taxonomy

Effective error discovery, reporting, and resolution process

Provide medical billing expertise to AR follow-up analyst teams to

Solve complex medical billing problems

Manage Standard Operating Procedures (SOP) manuals

Create and manage the new client onboarding process

Build and manage RCM staff training program, including

Discovery of root causes for medical insurance claim denial, underpayment, or delay, and their resolution

Interactions with the US-based insurance carriers to

follow-up on unpaid claims, delayed processing, and underpayment

plan and execute medical insurance claim denial appeal process

Monitor and coordinate a multi-team RCM organization, including

Monthly comparative team performance reporting

Creation of the new semi-autonomous RCM teams

Selection of and coordination with BPOs

Optimal client allocation

Productive teamwork with CRM

QUALIFICATIONS

Minimum 10 years experience in AR follow-up and charge and payment posting

Minimum 3 years of RCM/KPO/BPO team management experience

Experience with both CMS-1500 and UB-04 claim formats

Knowledge of ICD-10, CPT, and HCPCS

Experience with training program development

Experience with the development of operating standards

Experience with chiropractic, physical therapy, and mental/behavioral health specialties

Experience with Vericle software

MUST HAVE:
High comfort level working on the Eastern Time Zone/US Shift

Good internet access at home

Mobile Hotspot

Laptop/Desktop of at least 8 GB

Company: Vericle –

Company Location:  Delhi, Delhi

Job Category: Accounts Jobs, Accounting Jobs, Audit & Accounts

About Vericle -