Job Description
We are seeking a Revenue Cycle Manager to oversee the end-to-end revenue cycle operations for our clinics, from patient insurance verification and prior authorization through claims submission, denial management, and collections. This role is critical to ensuring accurate billing, efficient claims processing, provider engagement and timely reimbursements. In addition to traditional revenue cycle m
7:30 AM
Log in and pull the overnight denial queue. Your worklist shows 40β80 claims flagged by the payer in the last 24 hours. Sort by doβ¦
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, Cβ¦
9:30 AM
Hit a complex medical necessity denial from a Medicare Advantage plan. Open the patient chart, pull the clinical documentation, anβ¦
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