The Role
Handles complex medical claim rejection cases, investigates root causes, collaborates with billing specialists and healthcare providers, implements corrective actions to improve revenue cycle efficiency, and provides guidance to Level 1 associates. The role also participates in process improvement initiatives and requires proficiency with billing software and analytical tools.
Summary Generated by Built In
Job Description:
Job Description :
RCM Rejection Associate II
- Handle more complex rejection cases that require in-depth analysis or investigation.
- Collaborate with billing specialists or healthcare providers to address systemic issues contributing to claim rejection.
- Develop and implement strategies to reduce claim rejection rates and improve overall revenue cycle efficiency.
- Provide training or guidance to Level 1 associates on resolving complex rejection issues.
- Participate in cross-functional teams or meetings to discuss process improvements and best practices.
Skills/Qualifications
- Associate's degree or equivalent experience in healthcare administration, medical billing, or a related field.
- Demonstrated experience in identifying root causes of claim rejection and implementing corrective actions.
- Proficiency in using advanced features of billing software or analytical tools for data interpretation.
- Ability to prioritize tasks and manage multiple projects simultaneously.
- Strong problem-solving and decision-making skills.
Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Skills Required
- Associate's degree or equivalent experience in healthcare administration, medical billing, or a related field
- Experience identifying root causes of claim rejection and implementing corrective actions
- Proficiency using advanced billing software features or analytical tools for data interpretation
- Ability to prioritize tasks and manage multiple projects simultaneously
- Strong problem-solving and decision-making skills
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The Company
What We Do
Qualifacts' CareLogic Enterprise Software is a comprehensive Electronic Health Record (EHR) designed for behavioral health, mental health, & human services.
