Job Description

Roles and Responsibilities: Strong interpersonal and communication skills. Strong attention to details to identify, record and prioritize issues. Troubleshooting to present viable solutions as problems arise. Solid report writing skills and command of written communication. Review and evaluate claim management work, including claim submissions, resubmissions, and appeals, to ensure compliance with industry regulations, payer guidelines, and company policies. Develop and implement quality assurance processes, including regular audits, to identify areas for improvement and ensure the accuracy of the Team's work. Collaborate with the Team and other departments, such as billing and coding, to address claim errors and streamline the processes. Monitor and track trends and team performance metrics, providing regular reports to the Team Lead and recommending strategies for improvement. Stay up to date with industry regulations, payer guidelines, and best practices in RCM, and provide ongoing training and updates to the team. Assist the Team Lead in fostering a positive and collaborative work environment that encourages continuous learning and development. Willing to work in the night shift / US timings.