02 Sep
|
Rapid Claims
|
Bengaluru
02 Sep
Rapid Claims
Bengaluru
About RapidClaims
RapidClaims is a leader in AI-driven revenue cycle management, transforming medical coding and revenue operations with cutting-edge technology.
The company has raised $11 million in total funding from top investors, including Accel and Together Fund.
Join us as we scale and revolutionize healthcare operations through AI-powered solutions and powerful Large Language Models (LLMs) to make medical coding faster, smarter and significantly more accurate.
Quality Control Analyst (Denials)
- Job Overview
Mid shift
- 12:00 PM to 9:00 PM IST Work Mode
- Work From Office mandatory
Key Responsibilities:
- Perform detailed quality audits on denied and rejected claims across multiple specialties.
- Identify root causes of denials and recommend corrective and preventive actions.
- Ensure adherence to payer guidelines, billing regulations, and internal quality standards.
- Provide actionable feedback and training inputs to operations teams based on audit findings.
- Monitor trends in denials and rejections and share insights with stakeholders.
- Validate accuracy in AR followup and documentation processes.
- Maintain audit reports, dashboards, and quality metrics for management review.
- Support process improvement initiatives to reduce denial rates and enhance revenue realization.
Required qualifications:
- Minimum 3 years of experience in Quality Auditing (Denials & Rejections).
- Overall 5+ years of experience in Denials Management / RCM operations.
- Strong expertise in Denials Management and Rejections handling.
- In-depth knowledge of US healthcare RCM processes, including AR follow-up and appeals.
- Proficiency in identifying denial patterns and performing root cause analysis.
- Hands-on experience with EHR/EMR and billing systems such as Athena, Epic, ECW, etc.
- Excellent analytical, auditing, and documentation skills.
- Robust communication skills with the ability to provide constructive feedback.
- High attention to detail and ability to work in
📌 Quality Control Analyst (Bengaluru)
🏢 Rapid Claims
📍 Bengaluru