SME - AR

Responsibilities:

1. Provide expert knowledge and guidance in medical billing procedures, coding, and compliance standards.

2. Process Improvement: Analyze existing billing processes and systems to identify opportunities for improvement in efficiency and accuracy.

3. Training and Development: Develop training materials and conduct training sessions for staff on medical billing best practices, new regulations, and software updates.

4. Audit and Compliance: Conduct regular audits to ensure billing practices comply with regulatory requirements and internal policies.

5. Quality Assurance: Implement quality assurance measures to maintain high standards of accuracy and completeness in billing documentation and submissions.

6. Research and Resolution: Research complex billing issues and provide timely resolutions to ensure prompt reimbursement and customer satisfaction.

7. Documentation and Reporting: Maintain detailed documentation of billing processes, audits, and resolutions. Prepare reports for management on key metrics and performance indicators.

8. Customer Support: Provide support to internal teams and external clients regarding billing inquiries, discrepancies, and issues.

9. Stay Updated: Stay informed about changes in medical billing regulations, coding guidelines, and industry trends to ensure compliance and best practices.

10. Collaboration: Collaborate with cross-functional teams including healthcare providers, IT professionals, and legal experts to address billing challenges and implement solutions.