Job description
Investigate and resolve complex denial issues. Analyze denial trends to identify opportunities for process improvement. Initiate and lead payer calls for escalated denial inquiries, follow-ups, and disputes. Develop and implement strategies to reduce denial rates and enhance reimbursement. Collaborate with internal stakeholders to address root causes of denials. Prepare and submit appeals for denied claims as needed. Maintain comprehensive documentation of denial activities and outcomes.
Key skills
Role details
Industry: IT - Software / Product Development Role category: RCMS Denials Analyst II Education: Any Graduate - Any Specialization, Any Post Graduate - Any Specialization, Any Doctorate - Any Specialization
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