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Job Description
Structured overview of role & requirementsAbout This Role
Investigate and resolve complex accounts receivable (AR) and claim denial issues with measurable impact on denial rates.
Lead payer calls for escalated denial disputes and develop strategies to reduce aging and denials.
Mentor junior associates on advanced AR/Denial management and maintain documentation of denial activities and outcomes.
Minimum Requirements
Associate degree in Healthcare Administration or related field preferred.
Minimum 2+ years experience in Denial Management or Revenue Cycle Management.
Proficiency in medical billing software and denial tracking systems.
Work Experience Required: Minimum 2+ years in Denial Management or Revenue Cycle Management.
Ideal Candidate Profile
Experienced in revenue cycle and denial management with demonstrated leadership and escalation handling capability.
Skilled in analytical problem-solving and negotiation with payers to drive process improvements.
Capable of mentoring juniors and collaborating across internal teams for root cause resolution.