Denial Management Specialist

1 day ago

Vadodara, Gujarat, India beBeeDenialManagement Full time ₹ 80,00,000 - ₹ 1,20,00,000
Denial Management Specialist

Key Responsibilities:

  • Develop and implement strategies to reduce denial rates and improve revenue cycle performance.
  • Lead the resolution of high-level and escalated denial issues, collaborating with cross-functional teams to implement process improvements.
  • Conduct thorough root cause analysis to identify systemic issues contributing to denials, using data analysis and reporting tools to inform decision-making.
  • Establish and maintain effective relationships with payer representatives to facilitate communication and negotiation, driving change and implementing process improvements.
  • Train and mentor junior associates on advanced denial management techniques and best practices in payer communication.
  • Collaborate with cross-functional teams to optimize revenue cycle performance, ensuring compliance with healthcare billing regulations and payer policies.

Requirements:

  • Minimum 2 years of progressive experience in denial management-revenue cycle management, US healthcare, with a strong background in data analysis and reporting.
  • In-depth knowledge of healthcare billing regulations and payer policies, with excellent analytical and problem-solving skills.
  • Advanced proficiency in data analysis and reporting tools, with ability to drive change and implement process improvements effectively.
  • Excellent communication, negotiation, and relationship-building skills, with a Bachelor's degree in healthcare administration, finance, or related field.

About the Role:

This is an exciting opportunity to join our team as a Denial Management Specialist. As a key member of our revenue cycle team, you will play a critical role in reducing denial rates and improving revenue cycle performance. If you are a motivated and results-driven professional with a passion for healthcare and revenue cycle management, we encourage you to apply.

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