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US Healthcare-RCM-Medical Billing @ Datamatics

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 US Healthcare-RCM-Medical Billing

Job Description

Key Responsibilities

Data Entry & Payment Posting

  • Accurately post payments, adjustments or denials from lockbox documents into the system
  • Capture data from:
    • Explanation of Benefits (EOBs)
    • Remittance Advice
    • Insurance Checks
    • Patient Payment Stubs
    • Payer Correspondence & Denial Letters
  • Ensure correct entry of payment amounts, denial codes, adjustments, and claim details

Productivity & SLA Management

  • Meet defined productivity targets (hourly/daily throughput)
  • Adhere to turnaround time (TAT) and SLA requirements
  • Maintain consistency in high-volume transaction processing

Quality & Accuracy

  • Ensure high accuracy (as per defined benchmarks, typically 98%+)
  • Minimize errors and rework through attention to detail
  • Follow SOPs and client-specific guidelines strictly

Exception Handling

  • Identify incomplete or unclear documents and route to exception queues
  • Flag discrepancies and escalate complex cases as needed

Process Adherence & Improvement

  • Follow standardized workflows and compliance guidelines
  • Support process improvements by highlighting recurring issues
  • Participate in training and upskilling initiatives

Required Qualifications

  • 02 years of experience in US Healthcare RCM (Payment Posting / Data Entry / Lockbox preferred)
  • Familiarity with EOBs, remittance advice, and healthcare payment workflows
  • Basic understanding of denial codes and adjustments is a plus
  • Willingness to work in night shifts with rotational offs

Job Classification

Industry: BPM / BPO
Functional Area / Department: Customer Success, Service & Operations
Role Category: Back Office
Role: Back Office Operations
Employement Type: Full time

Contact Details:

Company: Datamatics
Location(s): Nashik

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Keyskills:   Rcm Billing US Healthcare Medical Billing

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Datamatics

Datamatics is a Digital Technology & BPM company with over 10,000 employees and provides technology solutions to more than 200 customers worldwide. The company has a presence in 7 countries, including India, the Philippines, Switzerland, USA, UK, Netherlands, and UAE. Its global delivery centers...

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