AR Specialist US Healthcare
Location Hybrid (Delhi/NCR only)
About Sciometrix
Sciometrix is leading digital Health company looking for AR Specialist. We are a leader in Telehealth healthcare Virtual care Management. Our mission to engage patients to Deliver better outcomes. Sciometrix is known among customers peers and patients for clinical excellence patient experiences and provider satisfaction. Since the inception of our patient count technological solutions have been evolving.
We empower healthcare providers with advanced technology and human expertise revolutionizing a patients experience. Our propriety software and related technologies ensure HIPAA compliancy with cloud access. We have established HIPAAcompliant Clinicus an artificial intelligence (AI) bot that monitors patients 24/7 and ensures fast response in their care management program. Clinicas watches each patients vitals and alerts our licensed team when a patients program progress or vitals are varying. Our team will then quickly contact the patient to discuss the change. If needed we will schedule a physicians appointment .
Whats in it for you
1. Thriving in Telehealth Innovation: Join the forefront of digital healthcare with Sciometrix where youll contribute to cuttingedge technology in telehealth and virtual care management.
2. Impactful Patient Engagement: Be part of a mission to engage patients and deliver better outcomes enhancing their healthcare experiences through advanced technology and human expertise.
3. Professional Growth: Sharpen your skills and expand your knowledge in accounts receivable (AR) management and denial resolution within the US healthcare industry building on your existing 4 years of experience.
4. Autonomous Work Environment: Enjoy the autonomy to work independently leveraging your expertise in AR calling and denial management to resolve patient accounts effectively.
5. Collaborative Culture: Engage in effective communication and coordination with the finance team contributing to accurate payment processing and billingrelated concerns resolution.
6. Continuous Learning: Stay updated with evolving insurance guidelines requirements and changes enhancing your understanding of revenue cycle management and insurance denials.
7. TechSavvy Environment: Utilize your knowledge of different EMR platforms and healthcare billing software including AdvancedMD and Waystar billing platforms to streamline processes and ensure compliance.
8. Flexible Schedule: Benefit from flexible work hours allowing you to maintain a healthy worklife balance while delivering excellence in AR capabilities.
9. Comprehensive Benefits Package: Access comprehensive insurance benefits annual performance bonuses and reimbursements ensuring your wellbeing and satisfaction within the organization.
Were seeking an AR Specialist with 4 years of US healthcare industry experience in AR calling and denial management. You should excel in written and verbal communication work autonomously and possess a strong grasp of Revenue Cycle Management and insurance denials. Proficiency in EMR platforms like EPIC AdvancedMD and knowledge of medical billing procedures and codes are crucial. Experience in Telehealth processes especially RPM and CCM is preferred. If youre detailoriented proactive and passionate about enhancing patient care through technology we invite you to apply.
Job Responsibilities:
1. Review and verify Patient balance to provide resolution on open AR patient accounts.
2. Investigate and resolve Denial/rejection discrepancies in insurance claims.
3. Ensure timely followup with Insurance on the claims pending for payments via call/websites to insurance carriers to obtain and take appropriate actions to resolve the claims in timely manner.
4. Research and understand insurance guidelines requirements and changes related to resolve the Account balance stuck in patient accounts.
5. Reconcile accounts receivable to ensure accurate and uptodate financial records.
6. Communicate and coordinate effectively with the finance team to accurately process payments and handle any billingrelated concerns.
7. Provide inputs and share best practice to improve the AR capabilities.
Requirements:
1. Should be working as an AR Specialist with proven minimum 4 years of experience in AR calling and denial management in US healthcare industry.
2. Excellent written and verbal communication skill.
3. Should be able to work independently without any supervision.
4. Good knowledge of Revenue Cycle Management and insurance denials.
5. Good understanding on different EMR platforms (EPIC AdvancedMD ECW
Practice fusion etc).
6. Familiarity with healthcare billing software and systems especially AdvancedMD and Way star billing platforms.
7. Indepth knowledge of medical billing procedures codes and regulations including knowledge of CPT ICD10 and HCPCS code
Knowledge of Telehealth RPM and CCM process is highly preferred.
Benefits
1. Comprehensive Insurance benefits
2. Flexible work hours
3. Annual Performance Bonus
4. Reimbursements
Equal Opportunity: Sciometrix is an Equal Opportunity Employer and is proud to offer equal employment opportunity to everyone regardless of race color ancestry religion gender national origin sexual orientation age citizenship disability gender identity veteran status and more.
Job Type: Fulltime
icd-10 coding,insurance,denial management,telehealth,emr platforms (epic, advancedmd),denials,ar system,medical billing procedures,us healthcare,hcpcs coding,revenue cycle management,cpt coding,ar calling,telehealth processes (rpm, ccm),claims management
AR Specialist
