RCM Specialist

Job Description

Requirements

• Requirements
• - Previous experience in revenue cycle management and medical approvals is highly desirable.
• - Proficiency in using approval platforms is essential.
• - Strong analytical and problem-solving skills with the ability to identify and resolve billing issues.
• - Excellent communication and interpersonal skills, enabling effective collaboration with multidisciplinary teams.
• Job Requirements
• - Bachelor's degree is required
• - Advance verbal and written communication skills
• - Mid-level positions require +2 years of experience
• - Healthcare provider organizations (hospitals, clinics, medical practices)
• - Certified Professional( IFCE )
• - Certified Professional (RCM )

Responsibilities

• - Monitored compliance to ensure protocols align with standard CCHI policies.
• - Validated and entered patient information and insurance coverage into the appropriate computer systems.
• - Sent approvals and reports to insurance companies.
• - worked on the Naphies platform with a highly skilled professional team.
• - Handled Ministry of Health cases by submitting all necessary documents and investigations to support the approval requests made by the treating doctor.
• - Analyzed data on UCAFs before submitting it to insurance companies.
• - Provided medical guidance to the claims processing team, assisted with ICD coding, and reviewed insurance claim forms and supporting documents to ensure completeness and continuity in the claims process.

Skills Required