Senior Analyst, Rejection Management (India)
About the role
Senior Analyst role in the Rejection Management Team focusing on managing and resolving claim rejections, ensuring timely reimbursements, and improving revenue cycle performance in a healthcare tech environment.
Responsibilities
- Analyze and review rejected claims to identify reasons for rejection and gather necessary information for resubmission.
- Collaborate with insurance companies to obtain additional documentation, correct errors, and resubmit claims.
- Maintain thorough knowledge of payer-specific guidelines, policies, and procedures to ensure accurate claim submissions.
- Track and document all claim rejections, resolutions, and resubmissions in the internal system.
- Monitor and report on claim rejection trends, and suggest process improvements to minimise future rejections.
- Educate and train staff on best practices for claim submissions, payer guidelines, and billing procedures to reduce the incidence of claim rejections.
- Participate in regular team meetings to discuss ongoing issues, share best practices, and develop strategies for improving revenue cycle performance.
Qualifications
- A minimum of 2-3 years of experience in medical billing, coding, or revenue cycle management.
- Basic understanding of medical billing and coding practices, including ICD-10, CPT, and HCPCS codes.
- Familiarity with payer-specific guidelines, policies, and procedures.
- Excellent communication, interpersonal, and problem-solving skills.
- Detail-oriented with strong organisational and time management abilities.
- Proficiency in using billing software and the Microsoft Office Suite.
- Ability to work effectively under pressure in a fast-paced company environment.
Skills
About Athelas
Extensible, Integrated Technology that Simplifies Health Systems
At Athelas, powered by Commure, our mission is to simplify healthcare. We have bold ambitions to reimagine the healthcare experience, setting a new standard for how care is delivered and experienced across the industry. Our growing suite of AI solutions spans ambient AI clinical documentation, provider copilots, autonomous coding, revenue cycle management and more — all designed for providers & administrators to focus on what matters most: providing care. Healthcare is a $4.5 trillion industry with more than $500 billion spent annually on administrative costs, and Athelas is at the heart of transforming it. We power over 500,000 clinicians across hundreds of care sites nationwide – more than $10 billion flows through our systems and we support over 100 million patient interactions. With new product launches on the horizon, expansion into additional care segments, and a bold vision to tackle healthcare's most pressing challenges, our ambition is to move from upstart innovator to the industry standard over the next few years. Healthcare's moment for AI-powered transformation is here, and we're building the technology to power it. Come join us in shaping the future of healthcare.
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