Leadership and ManagementRevenue Cycle ManagementCompliance and Regulatory AdherenceFinancial Reporting and AnalysisPayer Relations and Contract ManagementPatient Billing and Customer Service

• PREPARE, REVIEW, AND TRANSMIT INSURANCE CLAIMS USING BILLING SOFTWARE INCLUDING ELECTRONIC, WEBSITE SUBMISSION, AND PAPER CLAIM PROCESSING• STATUS UNPAID CLAIMS WITHIN STANDARD BILLING CYCLE TIMEFRAME• TIMELY REVIEW/HANDLING OF INSURANCE CLAIM DENIALS, EXCEPTIONS, OR EXCLUSIONS• FORWARDS REQUESTS FOR MEDICAL RECORDS TO APPROPRIATE INTERNAL RESOURCES• ADDRESSES/CORRECTS DEMOGRAPHIC INFORMATION REQUESTED BY INSURANCE COMPANY• READ AND ACCURATELY INTERPRET INSURANCE EXPLANATION OF BENEFITS.• VERIFYING INSURANCE PAYMENTS FOR ACCURACY/COMPLIANCE BASED ON CONTRACTS TO ENSURE CORRECT REIMBURSEMENT IS RECEIVED• MANAGEMENT OF THE ACCOUNTS RECEIVABLE (AR) INCLUDING ANALYSIS OF THE AGED AR, LOOKING FOR ROOT CAUSE ISSUES, WRITING RULES WHERE APPROPRIATE TO STOP ERRORS FROM OCCURRING.

* Independently manage all activities of the medical billing cycle of assigned clients.* Efficient Revenue Cycle Management (RCM) of the assigned clients to establish and maintain positive, long-term relationships with clients.* Timely and error free medical bills entry and posting of the reimbursements received from insurances.* Ensuring client satisfaction by an effective and regular follow-up on accounts receivables.* Swift and accurate remedial actions on claims denied by healthcare insurances.* Independent and timely communicate with insurances to ensure steady stream of clients’ cash flow. Account manager is not supposed to take Claim Calls team’s assistance.* Independent and regular communication with client and his office staff including prompt response to their queries and concerns. Account manager is not supposed to take Client Relations team’s assistance.* Understanding of relevant Key Performance Indicators (KPIs) and working towards positive results for the assigned clients against all KPIs.* Striving for optimum utilization of company resources on the assigned clients and suggesting areas of improvement.* Keeping the immediate supervisor aware of all important issues of assigned clients.