RCM Officer

Job Description

Responsibilities

•    Coordinates with clinicians and/or other clinical staff of different specialities for gathering relevant information/documentation for onward submission.

•    Liaises with Insurance Companies/TPAs for submitting, resubmitting and replying queries raised by Insurance Companies/TPAs efficiently.

•    Shows knowledge of medical terminologies and good command on pronouncing medical words.

•    Demonstrates strong attention to details and ability to multitask within the fast- paced, high-pressure work environment.

•    Able to manage filing and tracking approval/denials/queries and inform concerned clinicians and patients about the requested service(s) status.

•    Prepares cost estimation accurately as per the current agreed terms.

•    Responsible for maintaining an active database of the instructions/communication about Insurance Companies/TPAs from RCM Office.

•    Practices professional telephone etiquette and customer service while making claim inquires and quickly resolving any patient complaints and concerns.

•    Provides aid to Front Desk Staff regarding Insurance Protocols and Coverage.

•    Maintains strict confidentiality related to medical records and other data.
 

Qualifications

Bachelor’s degree from an accredited college / university. Coding and claims processing skills will be preferred.

Certification from AAPC / AHIMA is a must.