Hiring Team Lead Manager RCM Medical Billing BPO Denial Management

Hiring Team Lead / Manger RCM Medical Billing BPO Denial Management Hrcs Services pvt ltd 8+ years Chennai( Egmore ) Job description Role & responsibilities Manage denial management by identifying root causes, resolving issues, and implementing corrective actions to reduce revenue cycle delays. Conduct thorough analysis of denials to identify trends and areas for improvement in EDI transactions. Map EDI codes accurately using industry standards and regulations to ensure seamless communication between healthcare providers. Perform rejection analysis to identify errors in claims processing and take corrective action to prevent future occurrence Should have hands on Experience Quality Audit process Good knowledge of CPT and Modifier usage Should be able to work with the Team on protocol updates based on Rejections Proven records of High Quality measures and metrics driven knowledge Six Sigma Certification on Quality is required Minimum experience of 2 years on Quality and 2 years in Leading Team Should have strong English language proficiency and communication skills and be able to speak and communicate directly with USA management and USA based clients Perform audits of charges to identify discrepancies and implement corrective actions. Collaborate with team members to resolve issues related to revenue cycle management (RCM) processes. Ensure adherence to company policies and procedures for all RCM activities. Preferred candidate profile 8+ years of experience in Denial Management, Edi Mapping, or related field. Strong understanding of RCM (Revenue Cycle Management) principles and practices. Proficiency in analyzing complex data sets to identify trends and patterns. Excellent analytical skills with attention to detail. Ready to work in rotational shift Should have strong Knowledge on AR and Trend Analysis and Global Fix Should have proven records on improving quality billing Should have been worked in RCM based and not Transaction based Worked with Direct Client Billing Should have worked multispecialty Worked both Physician and Hospital based