RCMS Rejection Associate

3 - 7 years

0 Lacs

Posted:5 days ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Role Overview: You will be responsible for handling more complex rejection cases that require in-depth analysis or investigation. Collaboration with billing specialists or healthcare providers to address systemic issues contributing to claim rejection will be a crucial part of your role. You will also be expected to develop and implement strategies to reduce claim rejection rates and improve overall revenue cycle efficiency. Providing training or guidance to Level 1 associates on resolving complex rejection issues and participating in cross-functional teams or meetings to discuss process improvements and best practices will be important tasks as well. Key Responsibilities: - Handle more complex rejection cases requiring in-depth analysis - Collaborate with billing specialists or healthcare providers to address systemic issues - Develop and implement strategies to reduce claim rejection rates - Provide training or guidance to Level 1 associates on resolving complex rejection issues - Participate in cross-functional teams or meetings to discuss process improvements and best practices Qualifications Required: - Associate's degree or equivalent experience in healthcare administration, medical billing, or a related field - Demonstrated experience in identifying root causes of claim rejection and implementing corrective actions - Proficiency in using advanced features of billing software or analytical tools for data interpretation - Ability to prioritize tasks and manage multiple projects simultaneously - Strong problem-solving and decision-making skills (Note: No additional details of the company were mentioned in the job description),

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