24 Sep
|
Weekday AI
|
Bengaluru
24 Sep
Weekday AI
Bengaluru
This role is for one of the Weekday's clients
Min Experience: 2 years
Location: Bangalore, Mumbai
JobType: full time
We are seeking a detail-oriented and analytical Reconciliation (Recon) Specialist with a strong foundation in US Healthcare processes. The ideal candidate will have a medical educational background and hands-on experience in healthcare reconciliation, medical coding, or medical transcription. This role requires a deep understanding of healthcare data, billing workflows, and accuracy in financial and clinical record alignment to ensure compliance and operational efficiency.
Key Responsibilities:
Perform end-to-end reconciliation of healthcare records, including patient data, billing information, claims, and payments.
Validate and cross-check data between multiple systems such as EHR/EMR, billing platforms, and payer systems.
Identify discrepancies in claims, payments, coding, or patient records and take corrective actions.
Work closely with medical coding, billing, and AR teams to resolve inconsistencies.
Analyze denial patterns and reconciliation gaps to improve process efficiency.
Ensure compliance with US healthcare regulations, including HIPAA guidelines.
Maintain accurate documentation and audit trails for all reconciliation activities.
Support month-end and quarter-end financial reconciliation processes.
Collaborate with internal stakeholders to streamline workflows and reduce errors.
Required Qualifications:
Educational background in Life Sciences, Medicine, Nursing, Pharmacy, or any related medical field (mandatory).
2–5 years of experience in US Healthcare, specifically in reconciliation, medical coding, billing, or transcription.
Strong understanding of US healthcare systems, insurance workflows, and revenue cycle management (RCM).
Proficiency in Medical Coding (ICD-10, CPT, HCPCS) is required.
Experience working with EHR/EMR systems and healthcare billing tools.
Good knowledge of claims adjudication and payment posting processes.
Strong analytical and problem-solving skills with high attention to detail.
Preferred Qualifications:
2–3 years of experience in Medical Coding or Medical Transcription.
Familiarity with denial management and AR follow-ups.
Certifications such as CPC (Certified Professional Coder) or equivalent are a plus.
Key Skills:
US Healthcare Processes
Medical Coding & Documentation
Healthcare Reconciliation
Revenue Cycle Management (RCM)
Data Analysis & Validation
Attention to Detail
Compliance & Regulatory Knowledge
Soft Skills:
Strong communication and collaboration abilities
Ability to work under tight deadlines and manage multiple priorities
High level of accuracy and accountability
Problem-solving mindset with a proactive approach
📌 Reconciliation Specialist - Us Healthcare (Bengaluru)
🏢 Weekday AI
📍 Bengaluru