IN Chennai Remote Employment

ResMed is hiring a RCM QA Specialist - Cash Posting

About the Role

About the Role

Role details below.

Responsibilities

  • Accurately and timely post cash payments received from various sources, including insurance companies, patients, and other payers, into the billing system.
  • Conduct thorough cash posting and denial posting processes, ensuring accuracy and adherence to established procedures.
  • Reconcile accounts and resolve discrepancies in cash postings to ensure accurate financial records.
  • Maintain a comprehensive understanding of US payer contracts, EOB/ERA codes, and adjustments to accurately apply payments and adjustments.
  • Stay updated with changes in reimbursement policies, payer contracts, and industry regulations related to cash posting.
  • Maintain documentation of cash posting processes, procedures, and payer-specific guidelines.
  • Participate in team meetings and provide input for process improvement initiatives.

Requirements

  • 2 years of hands-on experience in revenue cycle management, with a focus on Cash posting.
  • Good knowledge of Cash posting and denial posting processes.
  • Well-versed in US payer contracts, EOB/ERA codes, and adjustments.
  • Good written and verbal communication skills, with the ability to effectively communicate with internal teams and external stakeholders.
  • Detail-oriented with strong analytical and problem-solving skills.
  • Ability to work independently and in a team-oriented environment.
  • Strong organizational skills with the ability to prioritize tasks and meet deadlines.
  • Proficient in using computer applications, including MS Excel and billing software.
  • Up-to-date knowledge of industry regulations and changes in reimbursement policies.

Nice to Have

  • Bachelor’s degree.
  • 2 years of related experience.
  • Experience required within DME/HME specialty.
  • Proficiency in using Brightree software is highly preferred.
  • Developing professional expertise, applies company policies and procedures to resolve a variety of issues.

Benefits

  • Joining us is more than saying “yes” to making the world a healthier place.
  • Discovering a career that’s challenging, supportive and inspiring.
  • A culture driven by excellence helps you not only meet your goals, but also create new ones.
  • We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates.
  • We commit to respond to every applicant.

Additional Information

  • The role is within the revenue cycle management (RCM) function, specifically focused on cash posting and denial resolution.
  • Candidates must have experience interpreting EOB/ERA (Explanation of Benefits / Electronic Remittance Advice) codes and applying adjustments correctly.
  • Knowledge of DME/HME (Durable Medical Equipment / Home Medical Equipment) specialty billing is required.
  • Proficiency in Brightree software is highly preferred.
  • The company emphasizes a culture of excellence, diversity, inclusion, and innovation.
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About company
ResMed
ResMed is a company focused on sleep and breathing health, providing life-saving therapies and a product portfolio in these areas.
All jobs at ResMed Visit website
Job Details
Category qa_testing
Posted 22 days ago