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Mbwrcm is seeking a Revenue Cycle Management specialist to resolve escalated payer issues and monitor claim status through calls, IVR, or web portal. You will ask targeted questions, prepare call notes, and send necessary documents to payers, while documenting actions in the revenue cycle platform and generating ageing/denial reports for clients, all in line with MBW RCM information security guidelines.
You will work to ensure accurate denial analysis, maintain compliance, and uphold ethical
Responsible for resolving escalated cases.
Review the claim allocated and check the status by calling the payer or through IVR /Web Portal.
Ask a series of relevant questions depending on the issue with the claim and record the responses.
Prepare call notes, initiate or execute the corrective measures by sending necessary documents to Payers.
Record the actions and post the notes on the customer’s revenue cycle platform.
Use appropriate client-specific call note standards for documentation.
Perform ageing analysis, understand days in A/R, top reasons for denials and provide reports to clients as needed.
Adhere to MBW RCM information security guidelines.
Be in the centre of ethical behaviour and never on the sidelines.