Medical Biller
Job Categories:Charge Entry
Job Types:Full Time
Job Locations:Chennai, India
Requirements
- Receipt of documents – superbills, charge tickets, and associated clinical documentation via an FTP server, EHR, or document management system
- Recording the patient demographic information, date of service, billing provider, referring healthcare provider, Point of Service, data and time of admission, ICD/CPT codes, number of units, and modifiers.
- Workflow automation to provide daily reporting to the customers and facilitate collaboration to ensure compliance to timely filing norms
- Review of imported charges for accuracy before billing
- SQC (Statistical Quality Control) to review the quality of the process through a random audit
- Adherence to pre-defined provider-specific rules for different specialties and services rendered
- Review of any pending or held documents with the client daily to reduce any backlog
- We also perform charge audit services to identify any missed charges, instances of over-billing, and medical coding errors
Payment Posting
Job Categories:Payment Posting
Job Types:Full Time
Job Locations:Chennai, India
Requirements
- Completes payment entry in a timely and accurate manner including:
- Posts payments to practice management system (live checks within 24 hours, Online Credit Card, payments the next business day, EFT deposits within 72 hours)
- Records batch totals with date and initials on payment receipt spreadsheet
- Balances batches and runs transaction reports
- Verifies all EFT deposits and scanned checks have been posted by month end
- Properly communicates and documents payment denials in the practice management system and to theappropriate billing representative in a timely manner.
- Identifies any payments not being paid at the allowed/contracted amount and communicates this to theappropriate billing representative – AR and/or Director.
- Batches patient statements electronically on a weekly basis
- Creates invoices for attorney fees and communicates with physician office upon receipt of payment.
AR Callers
Job Categories:AR Calling
Job Types:Full Time
Job Locations:Chennai, India
Requirements
- Understand the client requirements and specifications of the project
- Ensure targeted collections are met on a daily/monthly basis
- Process claims and ensure collections are met
- Analyze the rejected/denied claims and understand the reasons of rejections/denial and reprocess the same for payment
- Meet the productivity targets of clients within the stipulated time
- Ensure that the deliverables to the client adhere to the quality standards
- Ensure follow-up on pending claims
- Prepare and maintain status reports
AR Caller Trainee
Job Categories:AR Calling
Job Types:Full Time
Job Locations:Chennai, India
Requirements
- Initiate telephone calls to US insurance companies requesting status of claims on patients accounts and take appropriate actions.
- Ensure that the deliverable to the client adhere to the quality standards.
- Understand the client requirements and specifications of the project.
- Ensure each patients medical information is accurate and up-to date.
- Maintain Excel and Reports as per the companys regulation.
Manager RCM
Job Categories:RCM
Job Types:Full Time
Job Locations:Chennai, India
Requirements
- Upholds teaches and enforces ASPRCM Solutions Core Values.
- Manages the staff and operations of the RCM department
- Ensures optimal performance through effective employee selection, training and development and performance management. Holds staff accountable for achieving plans and performance targets. Works with staff to identify and resolve the most complex issues and problems impacting the ambulatory billing office.
- Continuously evaluates the effectiveness and efficiency of operations and implements or proposes optimization of current processes and/or procedures.
- Develops and maintains strong relationships with US based team. Effectively manages relationships and business processes of all clients and owners.
- Develops, implements and effectively manages policies, processes and procedures that result in maintaining key performance indicators at or above/below goal levels, as set by the Director of RCM.
- Provides education and policy updates for staff on a regular and as needed basis.
- Establishes and conducts performance reporting for all clients.
- Works collaboratively with leaders of all departments to develop and maintain a culture of high performance and accountability across organizational boundaries. Ensures appropriate coordination with the billing staff throughout account life cycle.
- Provides regular revenue management reports to management. Provides periodic status reports and ensures timely identification and reporting of potential risks to positive cash flow, public image, or legal compliance. Alerts senior management and operations leaders of such concerns in the areas of accountability as soon as they are identified.
- Ensures compliance with government and commercial billing and medical record regulations and standards (USA) while maximizing reimbursement for patient claims.
- Manages operational expenses in accordance with the budget.Directs and oversees the development of operating and capital budget for the department.
- Works with payor companies and agencies or other outside parties, including judicial and regulatory bodies, commercial payers, collection agencies, and auditors to address and resolve disputes and unpaid claims, develop procedures, or address other pertinent needs.
- Holds responsibility for implementation and standardization of the policies and procedures involved in the management of the billing collection cycle.
- Provides ongoing leadership and operational oversight in the development, use and maintenance of systems for billing and accounts receivable management.
Senior Manager RCM
Job Categories:RCM
Job Types:Full Time
Job Locations:Chennai, India
Requirements
- Mentor and manage teams of Managers and Junior Consultants to be able to keep project on time QA of work done by the team
- Manage multi-channel best practices including partnering with multiple brands and brand managers and execution of marketing and triggered-based campaign that drive incremental and ROI for the business leveraging industry best practices
- This role will be responsible for developing programmatic, omni-channel customer journeys via test and learn initiatives, deriving insights from post-campaign analyses, and sharing recommendations with key stakeholders across the marketing organization and global regions
- Account/vendor relationship management involved with managing and evaluating the data and creative strategies with agencies and/or internal departments to deliver against the overall strategy and program objectives related to audience, branding, messaging, offer and design to impact response and drive ROI and retention for the business
- Ensure CRM/consumer engagement is integrated in everything the category will conduct that involves consumer engagement from, maximizing every opportunity to capture consumer data World Cup, product launch campaigns, brand campaigns etc
- The individual will share the category KPI’s – annual acquisition targets, revenue and NPS score
- Lead the strategy, development and execution of multichannel customer journey initiatives
- Derive insights from post-campaign analyses, database mining, web analytics and test and learn initiatives to drive and optimize customer loyalty, acquisition, retention, personalization and promotional strategies
- Work with business partners to define new projects and design solutions that increase the ROI of marketing campaigns
AR Analyst
Job Categories:AR Analyst
Job Types:Full Time
Job Locations:Chennai, India
Requirements
- Manage all cashier transactions.
- Perform automated tests in all processes.
- Prepare and evaluate all periodical bills for account receivables to be submit to third party vendors.
- Monitor and reconcile all over age accounts.
- Organize all internal and external customer accounts and identify all collection issues and assist in appropriate resolution.
- Monitor all outstanding balances and design various collection options to negotiate collections.
- Prepare and analyze all financial reports and develop models for key indicators.
- Monitor all monthly activities and manage vendor invoicing and prepare appropriate financial reports.
- Manage all customer accounts and assist in collection of credit cards and cash.
- Administer all cash deposits on an everyday basis and reconcile payments.
- Maintain accounts and records for all billing and maintain files for same.
- Maintain knowledge on all account information and monitor all invoices and statements.
- Maintain and prepare reports for ledger accounts and analyze variance according to Account Receivable policies.
- Monitor and collect data from various customer locations and analyze credit exposure.
Team Lead
Job Categories:RCM
Job Types:Full Time
Job Locations:Chennai, India
Requirements
- Introduces best practice processes around work assignments and quality of output.
- Maximizing overall team performance. Identifies and resolves the more complex issues around pending transactions
- Directs the accurate and timely processing of claims to meet or exceed client service level agreements
- Review quality audit of accounts
- Works with the team to complete assignments using established guidelines, policies and procedures.
VP Sales
Job Categories:Medical Billing
Job Types:Full Time
Job Locations:Texas , USA
Requirements
- Serves as Chief Sales & Marketing Officer of ASP-RCM Solutions, providing support in sales, business development, marketing strategy and management; develop the annual marketing plan and the strategies, tactics, and resources necessary to achieve goals
- Develop strategies and tactics for increasing market share within existing accounts and markets, while expanding into new selected verticals
- Develop and implement annual business plans and manage to monthly, quarterly, and annual expense and revenue budgets
- Provide leadership, direction and management to the marketing and sales team in a manner that ensures exceptional service to all stakeholders and that produces market differentiation and competitive advantage
- Establish clear sales metrics and benchmarks for measuring progress and maintaining focus; creates a companywide marketing reporting function that can track, measure, and analyze performance
- Collaborate with strategic partners and clients to research market needs and identify possible new product solutions
- Establish and maintain a strong network of relationships within the industry
- Develop a formidable team. Coach, mentor and develop existing professionals
- Proficient in financial analysis and establishing sales and marketing budget and action plan
- A minimum of 15 years of marketing and sales experience with a demonstrated track record of accomplishments, Strong leadership skills, able to lead change, mentor and motivate individuals
- Great track record of hiring and growing sales teams and ability to do so with speed
- Hands-on experience strategizing and negotiating complex sales deals
- Ability to operate at both a strategic/conceptual level and at a detailed, operational level
- Metrics driven; highly disciplined, must have strong interpersonal skills, maturity and good judgment and be capable of communicating with a diverse range of individuals
- A hands-on, action-oriented approach that fits well with the entrepreneurial, fast-paced culture
- Engaging leadership style that builds and sustains credibility with staff, colleagues, clients, and other stakeholders
- Broad functional experience in areas of strategic planning and marketing, sales and market development and planning
