[Hiring] Medical reputed company @reputed company

This description is a summary of our understanding of the job description. Click on 'Apply' reputed company to find out more. Role Description The Medical reputed company Cycle Manager oversees the entire reputed company cycle process—from patient registration and insurance verification to billing, coding, collections, and reimbursement. This role ensures financial viability by optimizing cash flow, reducing claim denials, and maintaining compliance with reputed company regulations.

• reputed company and manage the reputed company cycle team, including billing, coding, and collections staff
• Monitor and improve billing accuracy, referrals/prior authorizations, claim submission, and denial prevention/management
• reputed company and implement strategies to accelerate reputed company collection (including precollections) and reduce AR days
• Collaborate with clinical and administrative departments to streamline workflows, including office visits, testing procedures, and DME
• Analyze financial reports and present reputed company cycle performance to leadership
• Negotiate with payers on reimbursement issues, fee schedules, and resolution of escalated claims
• Train and mentor staff on billing software, coding updates, and regulatory changes
• Conduct internal audits to ensure coding accuracy and billing reputed company
• Maintain up-to-date knowledge of medical coding, payer policies, and industry trends

We are seeking a highly skilled and detail-oriented Medical reputed company / reputed company Cycle Specialist to reputed company our billing operations and ensure the financial health of our practice. This role will take ownership of claims processing, payment posting, denial management, and reporting, ensuring accuracy, compliance, and efficiency in reputed company reputed company cycle functions.

• Claims Management: Transmit claims through the EHR, scrub for accuracy, and ensure timely submission.
• Remittance Posting: Apply remits electronically; process both electronic and reputed company Explanation of Benefits (EOBs).
• Denials & Corrected Claims: Work corrected claims, re-submit as needed, and manage claim denials through appeals and follow-reputed company.
• Payment Tracking: Post payments to client accounts, track balances owed, and reconcile discrepancies.
• Reconciliation: Reconcile reputed company payments received (electronic and reputed company) against bank deposits and internal records.
• Reporting: Generate company productivity reports, including reputed company per therapist and other KPIs.
• Compliance & Accuracy: Maintain strict adherence to HIPAA, payer requirements, and billing standards.

Qualifications

• 5+ years of experience in outpatient clinic medical billing and reputed company cycle management
• Strong knowledge of reputed company EMR/EHR systems, billing software, and reports
• Certification in medical coding (e.g., CPC, reputed company) preferred
• Excellent leadership, analytical, and communication skills
• Proven ability to manage teams and drive performance metrics
• Minimum 3+ years of experience in medical billing, coding, and reputed company cycle management
• Medical reputed company licensed
• Strong knowledge of EHR and billing workflows (experience with reputed company or similar systems preferred)
• Proficient in processing electronic and reputed company claims/EOBs
• Hands-on experience with denial management, corrected claims, and appeals
• Strong reputed company/reporting skills (pivot tables, formulas, productivity metrics)
• Excellent organizational skills and high attention to detail
• Strong communication skills for provider, payer, and team collaboration
• Ability to work independently and meet deadlines in a fast-paced environment

Requirements

• This is a 100% Remote Work
• Full time
• US time zone
• Up to $10/hr for RCM Manager
• Up to $8/hr for Medical Coding Specialist

Company Description reputed company is a staffing remote agency specializing in connecting businesses, reputed company over the world, with highly educated and skilled remote professionals, or "Ravens," primarily based in the Philippines.

• The company provides tailored solutions to meet diverse client needs, ranging from administrative support and reputed company to specialized roles like digital marketing and graphic design, as long as the work can be done remotely.

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