
RCM Specialist
6 hours ago
Job Description
Please note:- kindly apply only if you have Revenue Cycle Management, US Healthcare Experience.
Requirements:
- Minimum 2 years of progressive experience in AR/Denial Management-Revenue Cycle Management, US Healthcare.
- In-depth knowledge of healthcare billing regulations and payer policies.
- Excellent communication, negotiation and relationship-building skills.
- Advanced proficiency in data analysis and reporting tools.
- Ability to drive change and implement process improvements effectively.
- Bachelor's degree in healthcare administration, finance, or related field.
Responsibilities:
- Serve as an AR Specialist on AR/Denial management strategies and best practices.
- Lead the resolution of high-level and escalated denial issues.
- Conduct root cause analysis to identify systemic issues contributing to denials.
- Develop and implement proactive measures to prevent future denials.
- Establish and maintain relationships with payer representatives to facilitate effective communication and negotiation.
- Train and mentor junior associates on advanced denial management techniques and payer communication strategies.
- Collaborate with cross-functional teams to implement process improvements and optimize revenue cycle performance.
- Monitor AR/Denial trends and provide regular reports and updates to leadership.
Location: -Vadodara, Gujarat-Work from Office only
Time: -Night/US Shift
Kindly visit Company Website for more details
https://www.qualifacts.com/
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