As a Trainee/Associate in Revenue Cycle Management (RCM) at AssureCare HealthTech LLC, you will play a vital role in ensuring the accuracy of patient demographics and insurance information, processing claims, and resolving issues affecting payment delays.

Key Responsibilities:

1. Ensure the accuracy of patient demographics and insurance information.
2. Research, identify, and rectify any circumstances affecting delayed or non-payment of patient insurance claims.
3. Process paper claims for assigned accounts and send these claims to the appropriate insurer for payment collection.
4. Ensure that clean and correct claims are sent to insurers, including appropriate backup documentation when required.
5. Prepare and submit coverage and payment appeals to insurances when appropriate.
6. Resolve credit balances due to over-payments within time guidelines.
7. Maintain up-to-date knowledge of payer requirements.
8. Contact insurance companies for further explanation of denials and underpayments.
9. Take appropriate action on claims to guarantee resolution.
10. Ensure accurate and timely follow-up where required.
11. Document actions taken in claims billing summary notes.
12. Prioritize pending claims for calling from the aging bucket to make physical calls, following international norms and applicable rules for confidentiality and HIPAA compliance.
13. Work on denials, rejections, LOAs to accounts, making required corrections to claims.

Required Skills:

• Proficiency in English (Spoken and Written)
• Excellent analytical and problem-solving skills
• Good written and oral communication skills in English
• Ability to work individually and as part of a team in a fast-paced agile environment
• Desire and ability to learn new software and the healthcare domain quickly

Application Link