RCM Expert on US healthcare domain

Project Overview: With extensive experience in the US healthcare domain, I provide comprehensive Revenue Cycle Management (RCM) services, specializing in AR calling, payment posting, and other critical RCM processes. My services are designed to optimize cash flow, reduce denials, and ensure accurate, timely billing, leading to better revenue recovery for healthcare providers.

Accounts Receivable (AR) Calling: I manage the AR follow-up process, contacting insurance companies and patients to resolve outstanding claims and reduce aging balances.

Payment Posting: Accurate and timely posting of payments from insurance companies and patients to ensure proper allocation of funds to accounts.

Denial Management: Identifying the root causes of denials, appealing and reprocessing denied claims to maximize reimbursements.

Eligibility and Benefits Verification: Ensuring accurate patient information and verifying insurance coverage before services are rendered.

Claim Submission & Follow-up: Preparing and submitting claims to insurance companies and following up to ensure timely reimbursement.

Expertise in the US Healthcare Domain: With years of experience in RCM, I understand the complexities of the healthcare billing process and the importance of timely follow-ups.

Process Optimization: I help streamline RCM processes to reduce claim denials, accelerate cash flow, and ensure accurate payment posting.

Compliance & Accuracy: I stay updated on industry regulations and payer requirements, ensuring that all processes comply with healthcare laws and standards.

Cost-Efficient Solutions: By improving operational efficiency, I help healthcare providers save time and money, boosting overall revenue cycle performance.

Timely AR follow-up and reduced aging balances

Accurately posted payments and adjustments

Detailed denial management reports and resolution actions

Comprehensive claim submission and tracking documentation

Eligibility verification reports and claim processing updates

Improved cash flow and quicker payments

Reduced claim denials and faster resolution

Enhanced financial performance and operational efficiency