RCM Blended Specialist

Role: RCM Blended Specialist
Experience: 2–4 years in RCM (physician groups, hospital billing, or healthcare BPO)
Skills: Healthcare BPO, charge entry, A/R follow-up, and eligibility for outpatient & hospital services.
Location: Muntinlupa, Philippines
We at Coforge are hiring RCM Blended Specialist with the following skillset:
Charge Capture for Physician & Hospital
Review documentation, charge tickets, and hospital batch charges for accuracy (CPT, POS, units).
Coordinate with providers, coders, and clinical staff to resolve documentation issues.
A/R Follow-Up - Conduct payer follow-ups via portals, calls, and clearinghouse tools.
Resolve denials, submit corrected claims, appeals, and reconsiderations.
Eligibility & Benefits Verification.
Verify insurance coverage for diverse service types.
Confirm co-pays, deductibles, coinsurance, OOP limits, and exclusions.
Identify pre-auth, referral, and pre-cert requirements.
Ensure accurate data entry ...