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Key skills for this role
Key Skills for This Role
Full Job Posting
Gemcaps Healthcare Services is a premier revenue cycle management (RCM) company with 100+ years of combined RCM leadership experience.
We don’t want to be your vendor, we want to be your partner.
Our RCM experts located both stateside and in India are always looking for ways to not only improve your billing but also to make your practice more efficient and easier to run.
Excellence in RCM through technology solutions is what drives success for the organization.
The three tent poles of our success are:
• AUTOMATION AND TECHNOLOGY
- INTENSIVE AUDITING
• DATA DRIVEN DECISION MAKING
- Initiate telephone calls to insurance companies requesting a status of claims in the queue.
- Contact insurance companies for further explanation of denials and underpayments
- Take appropriate action on claims to guarantee resolution. This will be determined by the information received during the above steps.
- Ensure accurate and timely follow-up where required.
- Review denials with Billing Account Liaison to determine necessary steps for claim review.
- Document actions taken in claims billing summary notes
- Other billing-related tasks as needed, requested by the team lead
- Improve knowledge on Medical Billing software, Arability, and clearinghouses.
- Improve knowledge on other Billing areas.
- Improve skills on CPT codes and DX Codes.
- Make collections with a convincing approach.
- Meet collect targets in line with AR days.
- Maintain professional decorum and punctuality
- Plan leaves well in advance
- Ensure good interpersonal relation is maintained while coordinating
Excellent communication skills & Listening Skill.
Understand the client requirements and specifications of the project.
Willing to work in Night Shift.
Ensure that the deliverable to the client adhere to the quality standards.
Must be spontaneous and have high energy level.
Attractive Salary.
About Gemcaps
Gemcaps is a privately held healthcare revenue-cycle-management company serving medical practices with billing, automation, analytics, and consulting.
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