RCM cycle management.

✔ Deep Expertise in US Healthcare RCM – Familiar with HIPAA, CMS guidelines, and payer-specific rules. <div>✔ Clean & Organized Work – Meticulous claim tracking and follow-up to maximize reimbursements. </div><div>✔ Deadline-Driven Approach – Prioritizing timely claim submissions, appeals, and cash flow recovery. </div><div>✔ Tools & Software Proficiency – Experienced with EPIC,Modmed, Waystar,and Clearinghouses (Change Healthcare, Availity).</div>

✅ Accounts Receivable (AR) Follow-Up – Proactive calling to insurance companies (Medicare, Medicaid, Commercial Payers) for claim status and payment resolution. <div>✅ Denial Management – Identifying and appealing denied/rejected claims with proper documentation. </div><div>✅ Payment Posting & Reconciliation – Ensuring accurate posting of EOBs (Explanation of Benefits) and ERA (Electronic Remittance Advice). </div><div>✅ Patient Billing Support – Handling patient statements, copays, and self-pay accounts. </div><div>✅ Credentialing & Eligibility Verification – Confirming patient coverage before service delivery. </div><div>✅ Specialty-Specific Billing – Experience with RCM for specialties (e.g., Cardiology, Orthopedics, Behavioral Health, etc.). </div><div> </div><div><br></div>

Daily/Weekly AR Calling – Persistent follow-ups with insurers. <div> </div><div>Denial Analysis Report – Identifying trends and reducing future rejections. </div><div> </div><div>Monthly Revenue Recovery Summary – Transparent reporting on recovered payments. </div><div> </div><div>Provider Support – Direct coordination for any claim-related queries.</div>