Senior Analyst, Rejection Management

About the Company

Commure is building the AI Operating System for healthcare, providing a platform that spans the full care journey from Ambient AI to autonomous RCM processing billions in claims. The company is transforming the $1 trillion administrative burden in healthcare through an AI-native platform integrated with over 60 EHRs.

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

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