Revenue Cycle Representative jobs in Navi Mumbai at Inventurus Knowledge Solutions

Overview:

The Revenue Cycle Representative (RCR) role at IKS is pivotal in the fast-paced challenging US Healthcare Revenue CycleManagement environment.

The Revenue Cycle Representative is responsible for resolving client billing problems and rescuing Account Receivabledelinquency in a timely manner.'
Job DescriptionPrimary Job Responsibilities

1. Manage the assigned receivables portfolio by ensuring outstanding/denied claims are resolved.

2. Reviews and analyse outstanding insurance claims, to get physician efforts paid

3. Identify trends and communicate findings/ errors to appropriate stakeholders in an effort to educate and eliminate future errors

4. Work with the insurance company on behalf of our clients, represent them and resolve the claims within the timelines and defined Service Level Agreements (SLA’s)

5. Interact with insurance org to get the required status update and have the claims resolved.
Behavioural Competencies

1. Team Work

2. Accountability

3. Communication

4. Customer Service Orientation

5. Achievement Orientation
Functional Competencies

1. Excellent communication skills

2. Good Analytical skills

3. High Learnability. (Desire to learn new skills & tools.)

4. An eye for detail.

5. Adaptability to new roles and responsibilities.

6. Ability to work in teams.

7. Good typing and computer skills.
Eligibility Criteria

1. Graduate.

2 Excellent command of the English Language.

3. Willingness to work in the night shift

About IKS Health
IKS Health is a leading global healthcare company that provides a suite of products and services that help US-based hospitals, physician groups, and other healthcare providers operate more effectively and efficiently. Founded in 2007,IKS has over 4,500 employees based at our facilities/offices in Mumbai and Hyderabad in India, and Chicago,Montgomery, Denver, Los Angeles and New York in the United States. We work for about 30 large healthcare organizations, including several billion dollar organizations, and we have about $5 billion in client revenue under management. We are a privately held company; our majority shareholder is Rakesh Jhunjhunwala, one of the leading investors in Asia. IKS Health aims to empower clinicians and consumers through innovative, transformative and trusted solutions to experience superior, affordable and accessible care. IKS Health is perhaps the only integrated solution that enables healthcare organizations to achieve superior financial and clinical outcomes, while also empowering them to grow successfully, operate efficiently, and navigate industry change. Our solutions leverage the providers’ existing technology investments to deliver industry-leading results across the practice continuum. IKS maximizes revenue and expands margins, eases provider burden while reducing costs, and enables organizations to scale profitably.Large healthcare providers look to partner with firms like IKS as they significant changes in the US healthcare industry, including declining payments from private insurers and government agencies; complex and ever-changing reimbursement rules; increasing regulatory burden; the trend towards accountable care and “value-based reimbursement”; pressure to improve clinical outcomes while reducing costs; and so on. The IKS solution contains three components – IKS Margin: financial solutions including revenue generation (referral management, contract management),revenue capture (scheduling, charge entry, eligibility, authorization),revenue collection (revenue cycle services),and revenue protection (analytics, concurrent coding, underpayment recovery) IKS Practice: practice and technology solutions including practice consulting/optimization, software products/development, system implementation / training, ongoing training, and help desk support IKS Care: clinical support services delivered by our team of doctors and other trained healthcare professionalsi n India that assist our clients’ physicians and nurses to perform their clinical functions more effectively and efficiently