RCMS Denials Analyst II

• Analyze and resolve complex denials related to medical billing and claims processing.


• Conduct thorough reviews of denied claims to identify root causes and implement corrective actions.


• Collaborate with internal teams to ensure accurate and timely resolution of denials.


• Develop and maintain relationships with external stakeholders, including insurance companies and healthcare providers.


• Stay up-to-date with industry regulations and changes in healthcare policies affecting claim denial rates.


• Identify trends and areas for improvement in the claims process and recommend changes to management.

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