RCM Specialist

Cube Healthcare Systems is a subsidiary of the Healthcare Technology Company based in Michigan, USA providing healthcare solutions to the clients in the US. Presently, Cube Healthcare Systems is the largest company at KPIT board, with fast growing healthcare IT services and product base.

As a healthcare solution provider, CHS is successfully carrying out revenue management services for its clients based in the USA.

Our product: ALTUMED, a Revenue Cycle Management Software takes Medical Billing to another degree of automation and advancement. In Pakistan, with the main Office in Abbottabad, business teams are pro-actively making client experience and business a success.

Shift: Evening (5:30pm-2am)

Job Overview:

The primary responsibility of this role is to accurately bill patients, insurance companies, and third-party payers for medical services rendered. The ideal candidate should have a strong understanding of medical billing procedures, insurance guidelines, and healthcare regulations to ensure compliance and maximize reimbursement.

Responsibilities:

1. Billing and Coding: Utilize medical coding systems (e.g., ICD-10, CPT) to accurately code diagnoses and procedures.

2. Claims Submission: Prepare and submit electronic and paper claims to insurance companies and government payers.

3. Payment Posting: Record and reconcile payments received from patients and insurance companies.

4. Follow-up: Monitor unpaid claims and follow up with insurance companies and patients to resolve discrepancies or overdue payments.

5. Patient Billing: Generate patient statements.

6. Insurance Verification: Verify patients' insurance coverage and eligibility for services.

7. Documentation: Maintain accurate and up-to-date documentation of billing activities and interactions.

8. Compliance: Ensure compliance with healthcare regulations and insurance company policies.

9. Reporting: Generate reports on billing activities, revenue, and collections as needed.

Requirements:

1. Candidates with over 1.5 years of experience in medical billing and coding in a healthcare setting.

2. Familiarity with medical terminology, healthcare regulations (e.g., HIPAA), and insurance practices.

3. Proficiency in medical billing software and electronic health records (EHR) systems.

4. Strong analytical and problem-solving skills.

5. Excellent communication and interpersonal skills.

6. Ability to work independently and as part of a team in a fast-paced environment.

Required skills:

• Bachelor’s or Master’s Degree in science preferably D- Pharm, Physiology Biochemistry, BBA, MBA etc
• Excellent domain knowledge of the US- Healthcare Industry.
• Ability to read, analyse and interpret complex documents.
• Extensive knowledge of the use of email, search engine, Internet; ability to effectively use payer websites.
• Proficient with Microsoft products (Excel, Word, Outlook).
• Ability to work under pressure and complete the project by meeting the deadlines.
• Excellent interpersonal communication skills and should be a good team player.
• Must be detail-oriented, highly organized, and results-driven.

Benefits:

Market-Leading Salary, Medical insurance, Provident fund, EOBI, Paid Leaves, cash advance, Employee Performance based bonuses, Annual increments, Allowances ( Accommodation, OPD, Travel, Night, utilities, Technical ), Parental Leaves, Annual dinners & trips

Note: Preference will be given to candidates from Hazara Division, KPK for this specific role. However, candidates from all over the Pakistan are welcomed.

For more information, please visit:

www.cubehcs.com

Job Type: Full-time

Application Deadline: 24/07/2024
Expected Start Date: 25/07/2024