Operations Analyst, RCM Posting (Bangladesh) at Commure

Dhaka, Dhaka Division, Bangladesh

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Not SpecifiedCompensation

Junior (1 to 2 years), Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, HealthtechIndustries

Requirements

Bachelor’s degree in Healthcare Administration, Business/Accounting, Mathematics, Finance, CSE, or a related field
Additional training or certifications in Medical Billing, CPC, or RCM fundamentals is a plus
1–2 years of experience in medical billing or RCM, with a specialization in remit management is preferred
Familiarity with relevant healthcare billing and RCM concepts (implied from context)

Responsibilities

Study the payment ledgers of assigned encounters, verifying them through payer portals/calls, and completing assigned daily targets in a timely manner
Flagging blockers and edge cases that deviate from known patterns judiciously in designated channels
Swift navigation of claim details as well as site info (Client information dashboard) to search up information necessary for verifying payments
Researching CPT codes, Denial codes, and adjustment codes to decipher complicated ledgers and deduce correct actions items to close/finalize the encounter
Review and interpretation of Explanation of Benefits (EOBs), Electronic Remittance Advice (ERAs), and LCD/NCD coverage guidelines through payer portal navigation
Maintain updated knowledge of CMS, Medicare, Medicaid, and commercial payer requirements
Collaborate with other teams and brainstorm to resolve posting related issues that affect revenue recognition through Slack channels and Linear ticket updates
Contribute to internal posting runbooks, SOPs, and reference documentation

Skills

Key technologies and capabilities for this role

Revenue Cycle ManagementRCMHealthcare OperationsWorkflow AutomationData AnalysisAI SolutionsAdministrative Processes

Questions & Answers

Common questions about this position

What is the work location for this Operations Analyst role?

This information is not specified in the job description.

What are the main responsibilities of the Operations Analyst in RCM?

Responsibilities include studying payment ledgers of assigned encounters, verifying them through payer portals or calls, completing daily targets, flagging blockers and edge cases, navigating claim details and site info, and researching CPT codes, denial codes, and adjustments.

What skills are needed for this Operations Analyst position?

The role requires strong expertise in managing remit posting within RCM, resolving complex ledger discrepancies, mathematical reasoning, and analytical skills to ensure accuracy and efficiency.

What is the compensation for this role?

This information is not specified in the job description.

What makes a strong candidate for the Operations Analyst role?

A strong candidate has expertise in RCM remit posting, experience resolving complex ledger discrepancies, and strong mathematical reasoning and analytical skills.

Commure

Healthcare technology for data integration and safety

About Commure

Commure focuses on improving the healthcare industry by providing technology solutions that connect and empower healthcare workers. Its main product, CommureOS, is a lightweight operating system that integrates various healthcare technologies and datasets, helping providers streamline workflows and enhance patient care by delivering critical insights when needed. Additionally, Commure offers Commure Strongline, a discreet wearable badge that allows healthcare staff to quickly call for help, improving safety in potentially dangerous situations. This badge was developed with input from frontline workers and security experts to meet the specific needs of healthcare environments. Commure serves hospitals, clinics, and other healthcare facilities through a software-as-a-service (SaaS) model, charging subscription fees for access to its products. The company's goal is to create a more connected and safe healthcare ecosystem, ultimately enabling healthcare providers to deliver better care.

San Francisco, CaliforniaHeadquarters

2017Year Founded

$745.2MTotal Funding

GROWTH_EQUITY_VCCompany Stage

Enterprise Software, HealthcareIndustries

201-500Employees

Benefits

Unlimited Paid Time Off

Health Insurance

Dental Insurance

Vision Insurance

Parental Leave

Risks

Increased competition in AI scribe technology may pressure market share and pricing.

Integration of Memora Health's platform may face alignment challenges with existing systems.

Free AI scribe offering might strain resources if not monetized effectively.

Differentiation

CommureOS integrates disparate healthcare datasets, enhancing decision-making and operational efficiency.

Commure Strongline badge improves staff safety with rapid emergency alerts.

Commure's AI-powered scribe tool automates documentation, saving providers significant time.

Upsides

Acquisition of Augmedix enhances AI medical documentation, improving clinical decision-making.

Merger with Athelas creates a $6B healthcare infrastructure company, expanding resources.

Free AI scribe tool offers competitive advantage by broadening technology accessibility.

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