Job
Description
As a Senior Analyst in the Rejection Management Team, you will be responsible for managing and resolving claim rejections, ensuring timely reimbursements, and improving the overall revenue cycle performance. You will collaborate with various stakeholders, including insurance companies, billing teams, and healthcare providers, to rectify discrepancies and achieve accurate claim submissions. Responsibilities: Analyse and review rejected claims to identify reasons for rejection and gather necessary information for resubmission. Collaborate with insurance companies to obtain additional documentation, correct errors, and resubmit claims. Maintain thorough knowledge of payer-specific guidelines, policies, and procedures to ensure accurate claim submissions. Track and document all claim rejections, resolutions, and resubmissions in the internal system. Monitor and report on claim rejection trends, and suggest process improvements to minimise future rejections. Educate and train staff on best practices for claim submissions, payer guidelines, and billing procedures to reduce the incidence of claim rejections. Participate in regular team meetings to discuss ongoing issues, share best practices, and develop strategies for improving revenue cycle performance. Requirements : A minimum of 2-3 years of experience in medical billing, coding, or revenue cycle management. Basic understanding of medical billing and coding practices, including ICD-10, CPT, and HCPCS codes. Familiarity with payer-specific guidelines, policies, and procedures. Excellent communication, interpersonal, and problem-solving skills. Detail-oriented with strong organisational and time management abilities. Proficiency in using billing software and the Microsoft Office Suite. Ability to work effectively under pressure in a fast-paced company environment.as a result. At Commure, we build solutions that simplify providers lives and keep them connected to their patients so they can focus on doing what matters most: providing care.
