Executive - Rejections

Role & responsibilities Review rejected claims in billing systems to identify root causes and patterns. Correct and resubmit rejected claims within specified timelines to ensure prompt reimbursement. Communicate effectively with insurance carriers to resolve claim discrepancies and denials. Collaborate with billing, coding, and accounts receivable teams to prevent recurring rejections. Ensure compliance with payer guidelines, medical billing regulations, and company policies. Document resolution processes and maintain accurate records of claim rejections and follow-ups. Provide insights and recommendations to enhance rejection management workflows. Preferred candidate profile Proficiency in RCM software and tools (e.g., Kareo, Athena, or similar platforms). Strong knowledge of CPT, ICD-10, and HCPCS coding standards. Excellent analytical and problem-solving skills with attention to detail. Effective communication skills to liaise with internal teams and external stakeholders. Familiarity with HIPAA regulations and data privacy compliance.