Key Responsibilities

- Perform daily, weekly, and monthly reconciliation of patient encounters, charges, claims, payments, and adjustments.
- Validate source files received from clients and ensure all records are processed successfully.
- Compare production data with billing system reports to identify missing or mismatched records.
- Investigate reconciliation variances and coordinate with Coding, Billing, AR, IT, and Client teams for resolution.
- Prepare reconciliation reports and variance summaries.
- Monitor inventory movement and track pending reconciliation items.
- Ensure data accuracy before claim submission and after payment posting.
- Maintain reconciliation trackers, audit logs, and supporting documentation.
- Support month-end closing activities and client reporting.
- Identify process gaps and recommend automation or process improvements.
- Follow HIPAA and organizational data security policies.

Required Skills





- Strong understanding of the Revenue Cycle Management (RCM) process with AR Process knowledge,
- Experience in reconciliation and data validation.
- Advanced Microsoft Excel skills (Pivot Tables, XLOOKUP/VLOOKUP, INDEX-MATCH, Power Query, formulas).
- Good analytical and problem-solving skills.
- Strong attention to detail and accuracy.
- Excellent communication and coordination skills.
- Ability to work with large datasets and meet deadlines.

Preferred Technical Skills

- SQL (basic to intermediate)
- Power BI or Tableau
- Power Query
- VBA/Macros (preferred)
- Healthcare billing applications(e.g., CareCloud, Aprima, Optum, Epic, NextGen, AdvancedMD)

Candidates interested in this prospect may forward their profiles to [email protected].

📌 MIS Executive For RCM Process @ Paix Services (Tamil Nadu)
🏢 Paix Services
📍 Tamil Nadu