Only considering applicants in the following areas:
- El Paso, TX - Remote position
- Orlando and Gainesville, FL - Onsite
Job Overview
We seek an experienced RCM Customer Service Executive – Voice to join our team. The role involves collaborating with US healthcare providers to ensure accurate and timely reimbursement. The ideal candidate should possess strong communication skills, attention to detail, and be willing to work in US shifts.
KEY WORDS
Excellent Verbal and Written Communication Skills, Revenue Cycle Management, Denial Handling, AR Calling, US Healthcare, Medical Billing, RCM
ESSENTIAL RESPONSIBILITIES:
- Review and analyze denied claims to identify root causes and trends.
- Develop and implement strategies to reduce claim denials and improve reimbursement rates.
- Work closely with insurance companies, healthcare providers, and internal teams to resolve denied claims.
- Prepare and submit appeals for denied claims, ensuring all necessary documentation is included.
- Monitor and track the status of appeals and follow up as needed.
- Maintain accurate records of all denial management activities and outcomes.
- Provide regular reports on denial trends, appeal success rates, and other key metrics to management.
- Stay updated on industry regulations and payer policies to ensure compliance.
SKILLS AND COMPETENCIES
- Strong verbal and written communication skills
- Ability to resolve provider queries in the first point of contact.
- Focus on delivering a positive customer experience
- Should be professional, courteous, friendly, and empathetic
- Should possess active listening skills
- Good data entry & typing skills
- Ability to multi task.
- Capable of handling fast-paced, innovative, and constantly changing environment
- Should be a team player.
- Ability to contribute to the process through improvement ideas.
FORMAL EDUCATION AND EXPERIENCE
- HS Diploma or GED required
- 12 - 24 months of process experience in Denial Management and Provider/DME AR calling.
Pay and Benefits Pay Range Minimum: $15.50 per hour
Pay Range Maximum: $16.00 per hour
HCLTech is an equal opportunity employer, committed to providing equal employment opportunities to all applicants and employees regardless of race, religion, sex, color, age, national origin, pregnancy, sexual orientation, physical disability or genetic information, military or veteran status, or any other protected classification, in accordance with federal, state, and/or local law. Should any applicant have concerns about discrimination in the hiring process, they should provide a detailed report of those concerns to [email protected] for investigation.
A candidate’s pay within the range will depend on their work location, skills, experience, education, and other factors permitted by law. This role may also be eligible for performance-based bonuses subject to company policies. In addition, this role is eligible for the following benefits subject to company policies: medical, dental, vision, pharmacy, life, accidental death & dismemberment, and disability insurance; employee assistance program; 401(k) retirement plan; 10 days of paid time off per year (some positions are eligible for need-based leave with no designated number of leave days per year); and 10 paid holidays per year.
Job Type: Full-time
Pay: $15.50 - $16.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
- Referral program
- Vision insurance
Application Question(s):
- Do you reside is Orlando or Gainesville, FL or surrounding area and able to work onsite?
- Do you reside in El Paso, TX or surrounding area and able to work from home?
Education:
- High school or equivalent (Required)
Experience:
- Denial Management: 2 years (Required)
- Accounts receivable: 2 years (Required)
- Customer service: 2 years (Required)
- Data entry: 2 years (Required)
- Medical billing: 2 years (Required)
Work Location: Remote
