Revenue Cycle Specialist

1 day ago


Madurai, Tamil Nadu, India beBeeDenialManagement Full time ₹ 6,00,000 - ₹ 10,00,000

Effective revenue cycle specialists play a crucial role in ensuring accurate reimbursement from insurance companies and patients. This position involves navigating complex billing and coding rules, making them key players in denial management.

About the Role:
  • Key Responsibilities: Initiate calls to insurance companies to inquire about the status of denied claims.
  • Documentation and Follow-up: Maintain thorough records of all interactions and follow-up actions.
  • Resolution and Re-submittal: Re-submit claims with corrected information or appeal denials.
  • Communication: Communicate with patients and internal stakeholders about denial statuses and resolution efforts.
Benefits:
  • Increased Revenue: Effective denial management helps healthcare providers recover more revenue from claims.
  • Reduced Turnaround Time: Speeding up the revenue cycle improves cash flow.
  • Improved Patient Relationships: Explain denial reasons and ensure patients understand the process.
Why It Matters:
  • Financial Impact: Denial management directly affects a healthcare provider's bottom line.
  • Patient Satisfaction: Clear communication with patients leads to improved relationships and increased patient satisfaction.


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