About RapidClaims
RapidClaims is a leader in AI-driven revenue cycle management, transforming medical coding and revenue operations with cutting-edge technology.
The company has raised $11 million in total funding from top investors, including Accel and Together Fund.
Join us as we scale and revolutionize healthcare operations through AI-powered solutions and powerful Large Language Models (LLMs) to make medical coding faster, smarter and significantly more accurate.
Quality Control Analyst (Denials)- Job Overview
We are looking for a highly experienced Quality Control Analyst specializing in Denials Management to join our Revenue Cycle Management (RCM) team. The ideal candidate will have strong expertise in auditing denials and rejections, identifying root causes, and ensuring quality improvements across the billing lifecycle. This role requires deep knowledge of end-to-end RCM processes and a keen eye for accuracy and compliance.
Mid shift- 12:00 PM to 9:00 PM IST Work Mode- Work From Office mandatory
Key Responsibilities:
● Perform detailed quality audits on denied and rejected claims across multiple specialties.
● Identify root causes of denials and recommend corrective and preventive actions.
● Ensure adherence to payer guidelines, billing regulations, and internal quality standards.
● Provide actionable feedback and training inputs to operations teams based on audit findings.
● Monitor trends in denials and rejections and share insights with stakeholders.
● Validate accuracy in AR followup and documentation processes.
● Maintain audit reports, dashboards, and quality metrics for management review.
● Support process improvement initiatives to reduce denial rates and enhance revenue realization.
Required qualifications:
● Minimum 3 years of experience in Quality Auditing (Denials & Rejections).
● Overall 5+ years of experience in Denials Management / RCM operations.
● Strong expertise in Denials Management and Rejections handling.
● In-depth knowledge of US healthcare RCM processes, including AR follow-up and appeals.
● Proficiency in identifying denial patterns and performing root cause analysis.
● Hands-on experience with EHR/EMR and billing systems such as Athena, Epic, ECW, etc.
● Excellent analytical, auditing, and documentation skills.
● Strong communication skills with the ability to provide constructive feedback.
● High attention to detail and ability to work in a fast-paced environment.
Benefits:
Work Location: In person
