RCMS Denials Analyst III

Responsibilities:

• Serve as an AR/Denial Specialist , billing regulations and compliance requirements.

• Lead the resolution of escalated billing issues and payer disputes.

• Lead payer calls for complex billing inquiries, negotiations, and dispute resolutions.

• Develop and implement strategies to improve revenue cycle efficiency and effectiveness.

• Conduct regular audits to ensure accuracy and compliance in billing processes.

• Provide training and ongoing support to junior associates and other team members.

• Collaborate with leadership to develop and monitor key performance indicators.

• Stay current on industry trends and best practices in revenue cycle management.

Requirements:

• Bachelors degree in healthcare administration, finance, or related field.

• Minimum of 5 years of progressive experience in medical billing or revenue cycle management.

• In-depth knowledge of healthcare billing regulations and compliance standards.

• Strong leadership and mentoring skills.

• Excellent communication and presentation abilities.

• Proficiency in data analysis and reporting tools.

• Ability to drive change and implement process improvements effectively.