The RCM officer maintains patient’s details, scans documents related to patient registration personal and insurance requirements, and secures pre-approvals for all contracted payers
Job Summary
The RCM officer maintains patient’s details, scans documents related to patient registration personal and insurance requirements, and secures pre-approvals for all contracted payers.
Responsibilities include validating patient details, assisting with insurance requirements, reviewing claims for accuracy and completeness, and submitting complex authorization approvals.
The role requires abstracting information for accurate coding, reviewing CPT, HCPCS, ICD-10 codes, and communicating with registration teams and physician offices regarding financial agreements and documentation.
Matching Summary
The RCM officer maintains patient’s details, scans documents related to patient registration personal and insurance requirements, and secures pre-approvals for all contracted payers.
Skills & Requirements
Must-have
patient registration and insurance requirements
secure pre-approvals for contracted payers
submit and adjudicate approvals and claims
understand insurance plan nuances
validate patient details and documents
follow up on pending approvals
Nice-to-have
work in a fast-paced environment
effective time management skills
excellent interpersonal skills
organizational skills
Key Requirements
Minimum 1 year of experience in Healthcare Billing and Insurance
Expertise in Pre-Approval insurance process
Minimum 1 year of experience in GCC
Bachelor's Degree in Science or related field
Certificate in related field or Finance, Accounting, Economics, Pubic Administration or business administration