Jr. RCM Jobs Opening in Key MedSolutions Inc. at Bodakdev, Ahmedabad
Job Description
Key Responsibilities
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Patient Data and Charge Entry
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Accurately enter patient demographics, insurance details, and medical service information into billing systems.
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Review and validate billing forms and medical records for completeness and accuracy.
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Ensure all data is compliant with healthcare regulations and privacy standards.
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Medical Coding Support
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Assist in applying standard medical codes (ICD-10, CPT, HCPCS) based on physician documentation and medical procedures.
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Coordinate with coders or senior executives to ensure correct coding for insurance reimbursement.
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Identify and flag discrepancies or missing information for review.
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Claims Submission
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Prepare and submit clean claims to insurance companies (private, government, and third-party payers) via electronic or paper format.
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Monitor claim rejections or denials and work with the billing or coding team to resolve issues promptly.
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Ensure timely filing of claims to avoid delays in payment.
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Accounts Receivable Follow-Up
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Follow up on outstanding claims with insurance companies via calls, emails, or online portals.
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Investigate denied or underpaid claims and initiate corrective actions such as appeals or resubmissions.
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Update claim status in the system and maintain detailed logs of communication.
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Payment Posting and Reconciliation
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Assist in posting insurance and patient payments accurately into billing systems.
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Match payments against claims and identify any shortfalls or overpayments.
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Coordinate with the finance team to resolve payment discrepancies.
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Customer and Client Communication
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Interact with patients (if applicable) to clarify billing questions or payment options.
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Collaborate with clients, team leaders, or providers to address RCM issues and provide status updates.
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Maintain a high level of professionalism and confidentiality in all interactions.
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Compliance and Documentation
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Adhere to HIPAA and other regulatory standards related to patient data and financial information.
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Maintain accurate and organized documentation for audits and internal reviews.
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Stay updated on changes in billing rules, payer policies, and coding guidelines.
Required Qualifications
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Education: Bachelor’s degree in any field is preferred; a diploma in medical billing, healthcare administration, or life sciences is an advantage.
More information about this Jr. RCM Job
Please go through the below FAQs to get all answers related to the given Jr. RCM job
- What are the job requirements to apply for this Jr. RCM job position?
- Ans: A candidate must have a minimum of fresher as an Jr. RCM
- What is the qualification for this job?
- Ans: The candidate can be a Graduate from any of the following: B.Com, B.Pharm, BA, BBA/BBM, BSc, Other Graduate
- What is the hiring Process of this job?
- Ans: The hiring process all depends on the company. Normally for an entry level, hiring the candidate has to go for Aptitude, GD (If they look for communication),Technical test and face to face interviews.
- This Jr. RCM is a work from home job?
- Ans: No ,its not a Work from Home Job.
- How many job vacancies are opening for the Jr. RCM position?
- Ans: There are immediate 1 job openings for Jr. RCM in our Organisation.
Job Particulars
About Company
Ahmedabad 
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