Job Description
Job Summary The RCM Accounts Receivable Specialist is responsible for resolving outstanding insurance accounts receivable through proactive follow-up, denial management, appeals, and payer communication. This role focuses on maximizing reimbursement, identifying denial trends, and driving revenue cycle performance improvements for assigned client accounts. Success in this role requires strong anal
7:30 AM
Log in and pull the overnight denial queue. Your worklist shows 40–80 claims flagged by the payer in the last 24 hours. Sort by do…
8:00 AM
Start working the queue. For each denial, you're reading the remittance advice, identifying the denial reason code (CO-4, CO-50, C…
9:30 AM
Hit a complex medical necessity denial from a Medicare Advantage plan. Open the patient chart, pull the clinical documentation, an…
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