Job Description
R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For 2023 by Great Place To Work® Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to make healthcare simpler and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities. Profee Charge Optimization (Revenue Integrity Solutions - MRC) Who we are: R1 RCM is a leading provider of revenue cycle services and physician advisory services to healthcare providers. We help transform and manage the revenue cycle of healthcare organizations. About the role: This role involves analyzing and interpreting the Physician Clinicals/Electronical Medical Records through hospital host systems for identifying opportunities which could be revenue leakages due to billing issues (unbilled charges for services provided by healthcare professionals). In addition to this, calculating reimbursements for the missed charges and suggesting rebills and identifying new ideas for revenue generation. We are looking for someone who has hands on analytics and data crunching experience there by giving the best possible solutions to the onshore team and generate revenue through rebills. You should be comfortable with numbers, reporting and excel. Collaborate with internal stakeholders, work effectively in a growing team, be a strong team player. Need to work closely and communicate effectively with internal and external stakeholders in an ever-changing, rapid growth environment with tight deadlines. What you will do: Study and analyze the Physician Clinicals/Electronical Medical Records through hospital host systems to identify revenue leakages due missed charges. calculating reimbursements for the missed charges and suggesting rebills and identifying new ideas for revenue generation, further rebill claims to ensure no revenue leakage and actual collections are in line with client goals (revenue addition). To effectively communicate the findings/ observations with recommended action to US team. Skill set requirement: Graduate in any discipline (preferably full time) from a recognized university/college with good academic track record. One year of experience in Physician US health care claims (Accounts Receivable, Claim Adjudication/Billing etc.). Good knowledge of Fee Schedules, Place of Service, Physician Credentials, CPTs, Modifiers & Diagnosis codes would be an additional advantage. Knowledge of Basic SQL and Advance MS Excel. Good communication Skills (both written & verbal) Experience working closely and communicating effectively with internal and external stakeholders in an ever-changing, rapid growth environment with tight deadlines.
Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.
Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: r1rcm.com
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