RCM Specialist

3 days ago

Vadodara, Gujarat, India Qualifacts Full time

Job DescriptionPlease 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 onlyTime: -Night/US ShiftKindly visit Company Website for more details

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