RCM Specialist

1 day ago

Vadodara, Gujarat, India Qualifacts Full time

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

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