
Closer – RCM Services
6 days ago
Job Title: Closer – RCM Services
Department: Revenue Cycle Management
Reports To: Team Lead / Manager – AR/RCM
Location: [Onsite/Remote/Hybrid]
Shift: [U.S. Shift / Night Shift / Flexible, etc.]
Job Summary:
The Closer is responsible for the final phase of the medical billing process, ensuring all accounts are closed accurately and in a timely manner. This includes reviewing payments, resolving denials, initiating appeals when necessary, and coordinating with insurance companies and internal departments to ensure proper reimbursement.
Key Responsibilities:
- Review insurance payments and denials to confirm account resolution.
- Ensure all claims are processed correctly and all follow-ups are completed.
- Initiate and manage appeals for denied or underpaid claims.
- Work closely with AR follow-up team to finalize claims.
- Post payments and adjustments when required.
- Conduct account audits to confirm zero balance and accurate processing.
- Ensure compliance with HIPAA and company policies.
- Coordinate with payers, clearinghouses, and clients for claim closure.
- Document all activity in billing software clearly and accurately.
- Meet daily/weekly/monthly productivity and quality targets.
Required Skills & Qualifications:
- 2+ years of experience in U.S. healthcare RCM process, particularly in AR follow-up and denial management.
- Strong knowledge of insurance guidelines (Medicare, Medicaid, Commercial payers).
- Familiarity with billing software such as EPIC, NextGen, eClinicalWorks, Kareo, AdvancedMD, or similar.
- Understanding of CPT, ICD-10, HCPCS codes.
- Excellent verbal and written communication skills.
- Analytical and problem-solving abilities.
- Ability to work independently and within a team.
- Strong attention to detail and accuracy.
Preferred Qualifications:
- Experience working with clients across multiple specialties (e.g., Radiology, Cardiology, DME, etc.).
- Certification in Medical Billing/Coding (CPC, CPB) is a plus.
- Experience with U.S. healthcare compliance standards.
Monday to Friday
6pm to 3am
Saturday Sunday off
Job Type: Full-time
Pay: Rs60, Rs120,000.00 per month
Work Location: In person
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