Reconciliation Specialist

Responsibilities:Maintain daily reconciliation processes and all action needed at hospital and client level.Reconciliation meetings with clients to discuss and finalize account rejections.Adhering to resubmission documentation during usual reconciliation process.Preparing resubmission reports to ensure accurate rejection recovery.Preparing for regularly reconciliation committee meetings to enhance the hospital reconciliation progress.Implementing cross audit with claim audit team to ensure accurate rejection analysis.Works to prepare processes and dashboards to ensure quality and accuracy.Undergoing action plans to mitigate rejection reasons.Contract and discount setup review.Reconciliation weekly reports.Stays up to date on medical updates and implements changes regarding claims and billing requirements according to customer needs to enhance digitalization internally and on customer side.Perform other duties related to RCM as assigned.Qualifications:Bachelor's degree of any medical field (Medicine or Dentistry).3 years of working experience in claims operations/healthcare.Significant knowledge of claims management, reconciliation and rejections management and its financial implications.