Senior Analyst, Rejection Management

Responsibilities

• Analyse and review rejected claims to identify reasons for rejection and gather necessary information for resubmission
• Collaborate with insurance companies to obtain additional documentation, correct errors, and resubmit claims
• Maintain thorough knowledge of payer-specific guidelines, policies, and procedures
• Track and document all claim rejections, resolutions, and resubmissions in the internal system
• Monitor and report on claim rejection trends and suggest process improvements
• Educate and train staff on best practices for claim submissions and billing procedures
• Participate in regular team meetings to develop strategies for improving revenue cycle performance

Requirements

• 2-3 years of experience in medical billing, coding, or revenue cycle management
• Basic understanding of ICD-10, CPT, and HCPCS codes
• Familiarity with payer-specific guidelines and policies
• Excellent communication and problem-solving skills
• Detail-oriented with strong organizational and time management abilities
• Proficiency in billing software and Microsoft Office Suite
• Ability to work effectively in a fast-paced environment

About the Company

Commure is building the AI Operating System for healthcare, providing a platform that integrates Ambient AI, intelligent Agents, and autonomous RCM processing to transform the administrative landscape of care delivery.