
Hiring For Denial Management Specialist
2 weeks ago
Roles and Responsibilities
- Manage denial management processes to minimize claim rejections and optimize revenue cycle management (RCM).
- Conduct thorough reviews of patient accounts, identifying potential issues and implementing corrective actions to prevent future occurrences.
- Collaborate with internal teams, including billing, coding, and customer service to resolve complex claims disputes.
- Analyze data trends and develop strategies to improve denial rates and reduce write-offs.
- Ensure compliance with regulatory requirements and industry standards for RCM best practices.
Desired Candidate Profile
- 1-2 years of experience in US healthcare or related field, preferably in AR calling, EHR systems, or RCM roles.
- Strong understanding of medical billing principles, ICD-10 codes, CPT codes, HCPCS level II codes, anatomy & physiology.
- Excellent communication skills for effective collaboration with customers/patients over phone calls.
Role:Medical Biller / Coder
Industry Type:Analytics / KPO / Research
Department:Healthcare & Life Sciences
Employment Type:Full Time, Permanent
Role Category:Health Informatics
Education
UG:Any Graduate
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