RCMS Denials Analyst III Qualifacts Systems, Inc.

5.0 - 9.0 years

0 Lacs

vadodara, gujarat

On-site

You will be responsible for serving as an AR/Denial Specialist, ensuring adherence to billing regulations and compliance requirements. Additionally, you will be tasked with developing and executing strategies aimed at enhancing revenue cycle efficiency and effectiveness. Regular audits will need to be conducted to verify the accuracy and compliance of billing processes. Providing training and continuous support to junior associates and team members will also be part of your responsibilities. Collaboration with leadership is key to developing and monitoring key performance indicators. It is essential to stay updated on industry trends and best practices in revenue cycle management. To qualify...

Posted 1 month ago

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Manager, Operations Med-Metrix

5.0 - 7.0 years

0 Lacs

Chennai, Tamil Nadu, India

On-site

Job Purpose The Manager, Operations will provide leadership and guidance to offshore RCM Partners and their teams reviewing processes and providing recommendations for improvement of operations working towards our combined operational goal to meet or exceed national AR KPI benchmarks and client specific KPIs. Help support project work for all functions with offshore and ensure they are held to timely completion guidelines. Ensure that offshore partners, maintain or exceed team productivity and quality standards. Work with vice President to understand and communicate the economic impact of upstream revenue cycle errors causing denials and provide data and implement effective processes to corr...

Posted 2 months ago

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SME Denial Management Zapare Technologies Pvt Ltd

2.0 - 6.0 years

0 Lacs

thrissur, kerala

On-site

As an SME in Denial Management with 2-3 years of experience, you will be a part of Zapare Technologies Pvt. Ltd., a leading provider of Revenue Cycle Management (RCM) solutions for the US Healthcare industry. Your role will involve analyzing, managing, and resolving denied insurance claims to enhance collections and optimize revenue cycles for clients. Your main responsibilities will include developing and maintaining denial logs to identify trends, working with denial reason codes to take appropriate actions, and ensuring compliance with HIPAA, CMS guidelines, and coding standards. You will also manage the appeals process by understanding appeal processes and SOPs, preparing and submitting ...

Posted 3 months ago

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