Executive - Rejections @ Commure

Job Description

Role & responsibilities

• Review rejected claims in billing systems to identify root causes and patterns.
• Correct and resubmit rejected claims within specified timelines to ensure prompt reimbursement.
• Communicate effectively with insurance carriers to resolve claim discrepancies and denials.
• Collaborate with billing, coding, and accounts receivable teams to prevent recurring rejections.
• Ensure compliance with payer guidelines, medical billing regulations, and company policies.
• Document resolution processes and maintain accurate records of claim rejections and follow-ups.
• Provide insights and recommendations to enhance rejection management workflows.

Preferred candidate profile

• Proficiency in RCM software and tools (e.g., Kareo, Athena, or similar platforms).
• Strong knowledge of CPT, ICD-10, and HCPCS coding standards.
• Excellent analytical and problem-solving skills with attention to detail.
• Effective communication skills to liaise with internal teams and external stakeholders.
• Familiarity with HIPAA regulations and data privacy compliance.

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Rs 0 - 50K PM Rs 50K - 1 LPA Rs 1.0 - 1.5 LPA Rs 1.5 - 2.0 LPA Rs 2.0 - 2.5 LPA Rs 2.5 - 3.0 LPA Rs 3.0 - 3.5 LPA Rs 3.5 - 4.0 LPA Rs 4.0 - 4.5 LPA Rs 4.5 - 5.0 LPA Rs 5 - 6 LPA Rs 6 - 7 LPA Rs 7 - 8 LPA Rs 8 - 9 LPA Rs 9 - 10 LPA Rs 10 - 12 LPA Rs 12 - 14 LPA Rs 14 - 16 LPA Rs 16 - 18 LPA Rs 18 - 20 LPA Rs 20 - 22 LPA Rs 22 - 24 LPA Rs 24 - 26 LPA Rs 26 - 28 LPA Rs 28 - 30 LPA Rs 30 - 32 LPA Rs 32 - 34 LPA Rs 34 - 36 LPA Rs 36 - 38 LPA Rs 38 - 40 LPA Rs 40 - 42 LPA Rs 42 - 44 LPA Rs 44 - 46 LPA Rs 46 - 48 LPA Rs 48 - 50 LPA Rs 50 - 75 LPA Rs 75 Lakh - 1C PA Rs 1 Crore+ PA

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Keyskills:   Rejection Analysis Revenue Cycle Management US Healthcare