RCM - Re-Submission Supervisor NMC healthcare LLC

Job Description

Oversee and coordinate end-to-end resubmission operations through claim analysis, team support, quality auditing, training, and interdepartmental communication to ensure accurate and efficient insurance reimbursement.

Responsibilities

• Preparing date-wise production log for the team. (Pharmacy /Clinic)
• Facilities doubt clearing (Coding, insurance Queries).
• Sharing rejection feedback to the Submission team.
• Sharing rejection feedback to the Approval team.
• Sharing rejection feedback to the reception/registration team.
• Sharing doctor monthly rejection reports to accounts.
• Sharing recon sheet to all team members.
• Giving feedback to the resubmission team.
• Giving Induction to New joiners.
• Clarifying the queries to the Insurance Company.
• Auditing the resubmission files and sharing the feedback with the team.
• Monthly team meeting with resubmission team sharing the ideas.
• Analyzing the rejections.
• Sharing rejection updates to medical auditor to share with respective doctors.
• Doing Resubmission production for assigned facility.
• Supporting submission team for their queries
• Maintain the production log in the E-claim link DHPO from team.

• Clearing the team's queries regarding rejections.