RCMS Denials Analyst II

2 - 6 years

0 Lacs

Posted:2 days ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

As a Denial Management Specialist at this company, you will be responsible for investigating and resolving complex denial issues. You will analyze denial trends to identify areas for process improvement and develop strategies to reduce denial rates and improve reimbursement. Your role will involve collaborating with internal stakeholders to address root causes of denials and mentoring Level 1 associates on advanced denial management techniques. Additionally, you will be preparing and submitting appeals for denied claims as needed while maintaining comprehensive documentation of denial activities and outcomes. Associate degree in healthcare administration or related field (preferred). Minimum of 2 years of experience in denial management or revenue cycle management. Proficiency in medical billing software and denial tracking systems. Strong problem-solving and analytical skills. Leadership skills and ability to work independently. Attention to detail and accuracy in data analysis and reporting. Qualifacts is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees.,

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