Revenue Cycle Management Assistant

About the job

Key Responsibilities

1. Patient registration and accurate demographic data entry

1. Insurance verification and eligibility checks

1. Prior authorization and pre-certification processing

1. Identifying coverage issues to reduce claim denials

1. Medical coding (IP/OP) using ICD-10, CPT, and HCPCS

1. Coding audits and compliance reviews

1. Charge entry and charge capture analysis

1. Ensuring accurate and timely charge posting

1. Accounts receivable (AR) follow-up with insurance payers

1. Denial analysis, management, and appeals submission

1. Insurance and patient payment posting (EOB/ERA)

1. Credit balance review and refund processing

1. AR aging analysis and revenue trend reporting

1. Managing daily RCM operations and team performance

1. Monitoring KPIs, SLAs, productivity, and quality metrics

1. Coaching, mentoring, and training RCM staff

1. Driving process improvements and revenue optimization

Skill(s) required

Data Analytics Data entry Effective Communication MS-Excel MS-Office Problem Solving Teamwork

Who can apply