Senior Analyst, Rejection Management
12 hours ago
At Commure, our mission is to simplify healthcare. We have bold ambitions to reimagine the healthcare experience, setting a new standard for how care is delivered and experienced across the industry. Our growing suite of AI solutions spans ambient AI clinical documentation, provider copilots, autonomous coding, revenue cycle management and more — all designed for providers & administrators to focus on what matters most: providing care.
Healthcare is a $4.5 trillion industry with more than $500 billion spent annually on administrative costs, and Commure is at the heart of transforming it. We power over 500,000 clinicians across hundreds of care sites nationwide – more than $10 billion flows through our systems and we support over 100 million patient interactions. With new product launches on the horizon, expansion into additional care segments, and a bold vision to tackle healthcare's most pressing challenges, our ambition is to move from upstart innovator to the industry standard over the next few years.
Commure was recently named to Fortune's Future 50 list for 2025 and is backed by world-class investors including General Catalyst, Sequoia, Y Combinator, Lux, Human Capital, 8VC, Greenoaks Capital, Elad Gil, and more. Commure has achieved over 300% year-over-year growth for the past two years and this is only the beginning. Healthcare's moment for AI-powered transformation is here, and we're building the technology to power it. Come join us in shaping the future of healthcare.
As a Senior Analyst in the Rejection Management Team, you will be responsible for managing and resolving claim rejections, ensuring timely reimbursements, and improving the overall revenue cycle performance. You will collaborate with various stakeholders, including insurance companies, billing teams, and healthcare providers, to rectify discrepancies and achieve accurate claim submissions.
Responsibilities:
Analyse and review rejected claims to identify reasons for rejection and gather necessary information for resubmission.
Collaborate with insurance companies to obtain additional documentation, correct errors, and resubmit claims.
Maintain thorough knowledge of payer-specific guidelines, policies, and procedures to ensure accurate claim submissions.
Track and document all claim rejections, resolutions, and resubmissions in the internal system.
Monitor and report on claim rejection trends, and suggest process improvements to minimise future rejections.
Educate and train staff on best practices for claim submissions, payer guidelines, and billing procedures to reduce the incidence of claim rejections.
Participate in regular team meetings to discuss ongoing issues, share best practices, and develop strategies for improving revenue cycle performance.
Requirements:
A minimum of 2-3 years of experience in medical billing, coding, or revenue cycle management.
Basic understanding of medical billing and coding practices, including ICD-10, CPT, and HCPCS codes.
Familiarity with payer-specific guidelines, policies, and procedures.
Excellent communication, interpersonal, and problem-solving skills.
Detail-oriented with strong organisational and time management abilities.
Proficiency in using billing software and the Microsoft Office Suite.
Ability to work effectively under pressure in a fast-paced company environment.
Commure is committed to creating and fostering a diverse team. We are open to all backgrounds and levels of experience, and believe that great people can always find a place. We are committed to providing reasonable accommodations to all applicants throughout the application process.
Please be aware that all official communication from us will come exclusively from email addresses ending in , or Any emails from other domains are not affiliated with our organization.
Employees will act in accordance with the organization's information security policies, to include but not limited to protecting assets from unauthorized access, disclosure, modification, destruction or interference nor execute particular security processes or activities. Employees will report to the information security office any confirmed or potential events or other risks to the organization. Employees will be required to attest to these requirements upon hire and on an annual basis.
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