RCMS Denials Analyst III

5 - 9 years

0 Lacs

Posted:1 week ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

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 for this role, you must possess a Bachelor's degree in healthcare administration, finance, or a related field. A minimum of 5 years of progressive experience in medical billing or revenue cycle management is required. In-depth knowledge of healthcare billing regulations and compliance standards is crucial. Strong leadership and mentoring skills are necessary for this position. Excellent communication and presentation abilities are also essential. Proficiency in data analysis and reporting tools is a must, along with the ability to drive change and implement process improvements effectively. Qualifacts is an equal opportunity employer that values diversity and is dedicated to fostering an inclusive environment for all employees.,

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