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Revenue Cycle Management Professional
9 hours ago
Job Title: Revenue Cycle Management Professional
Practice Care Solutions Pakistan is seeking a skilled Revenue Cycle Management Professional to join our team. In this role, you will oversee all aspects of revenue cycle management, ensuring accurate and timely submission of claims to insurance companies, government programs, and patients.
Responsibilities:
- Develop and implement revenue cycle management processes and procedures to ensure compliance with payer requirements and regulations.
- Collaborate with clinical teams to resolve coding issues and ensure accurate charge capture.
- Manage claim denials, coordinate appeals, and perform follow-up on unpaid or rejected claims.
- Monitor accounts receivable (AR) aging reports and work to reduce outstanding balances.
- Prepare and review billing reports, ensuring that all financial transactions are properly documented and reconciled.
Requirements:
- Associate's or bachelor's degree in healthcare administration, business, or a related field is preferred.
- At least 5 years of experience in revenue cycle management, including 2 years in a managerial or leadership role.
- Strong understanding of medical coding (ICD-10, CPT, HCPCS) and reimbursement policies.
- Minimum of 2 years of experience in credentialing healthcare providers with health plans and insurance carriers.
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