- Provide real-time support to the RCM team to resolve production billing issues.
- Address billing discrepancies identified through claim remittances and clearinghouse status reports.
- Serve as the primary point of contact for EHR billing corrections and system-related revenue issues.
- Analyze complex data sets to identify revenue leakage, denial trends, billing errors, and reimbursement variances.
- Develop and maintain dashboards, KPIs, and standardized reporting.
- Translate business requirements into clear technical specifications for IT and data teams.
- Assist with system upgrades and ensure billing configurations remain intact during implementations.
- Collaborate with Patient Access, HIM, Billing, Collections, and other departments to streamline workflows.
- Monitor regulatory and payer policy changes impacting reimbursement.
- Evaluate business processes and recommend automation and efficiency improvements.
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