ResMed has always applied the best of technology to improve people's lives. Now our SaaS technology is fueling a new era in the healthcare industry, with dynamic systems that change the way people receive care in settings outside of the hospital–and tools that work every day to help people stay well, longer. We have one of the largest actionable datasets in the industry, creating a complete view of people as they move between care settings. This is how we empower providers–with vital insight to deliver the care people need, right when they need it.
We're also ensuring that our health solutions connect to other companies' networks. Because when objectives align, everyone wins. And as we work today to drive better care and lower costs, we're developing more personalized solutions for tomorrow, utilizing machine learning, intelligent care paths, and predictive protocols. If you are an innovator who wants to make an impact we want to talk to you! We have exciting opportunities supporting Brightree by ResMed and MatrixCare by ResMed!
Revenue Cycle Representative - Auth & Eligibility
We are looking to hire an experienced Revenue Cycle Specialist for Chennai location. We are seeking a high caliber individual interested in pursuing a rewarding career with a dynamic software company. The Revenue Cycle Specialist is responsible for providing quality billing services to HEALTHCAREfirst outsourced billing customers in a timely manner. This specialist must exercise accountability and professionalism in maintaining the high level of service our customers deserve. This role reports to the Manager of Billing Operations.
Responsibilities:
Monitor and follow up on Eligibility & Authorization requirements for assigned agencies’ census.
Submit claims timely to Medicare, Medicaid and Private Payers for software clients and non-software clients.
Ensures that the claims processed correctly and were accepted by the payer.
Process adjustments and re-file claims as needed.
Member of a cohesive team that works to maintain the AR for HEALTHCAREfirst customers
Troubleshoot reimbursement issues and claim follow-up
Works at the established Productivity level
Builds relationships with clients regarding their billing needs and assist with claim resolutions as needed.
Addresses client concerns in a timely manner
Escalates unresolved customer grievances to the proper department, or management for further assessment.
Understanding of Medicare rules, regulations, billing codes
Maintain confidentiality and knowledge of HIPAA regulations
Performs other duties as assigned
Qualifications:
Minimum one year of progressive Home Health and/or Hospice billing experience preferred.
Prior experience working with Medicare rules, regulations, billing codes (preferred)
Education equivalent to a High school diploma, college degree preferred
Ability to perform basic bookkeeping and compile statistics as needed
Ability to work independently
Must be organized and able to multitask
Strong written and verbal communication skills
Ability to type, operate computers and office equipment
Aptitude for learning computer systems
Ability to perform basic bookkeeping and compile statistics as needed
Maintain a professional demeanor, courteous and flexible at all times
Open to dynamic change and ability to thrive in such an environment
Willingness and ability to work effectively with members of other departments
Education equivalent to a High school diploma, college degree preferred
Joining us is more than saying “yes” to making the world a healthier place. It’s discovering a career that’s challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals, but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. If this sounds like the workplace for you, apply now! We commit to respond to every applicant.