Job Responsibilities:
Manage RCM teams to run the operations
Oversee complete cycle of RCM & couch leads
Ensure accuracy claims/KPI compliance
Review, validate and analyze reports & share insights
Strong understanding OP, Homecare, Day surgery of RCM process
Clinical costing data analyze
Reconciliation followup
Impalement process
Strong understanding of Denials and Payer Guidelines
Collaborate with IT, finance, and clinical teams to integrate streamline revenue cycle processes
Handling JAWDA, DOH, Payer Audits
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