RCMS AR Specialist II

6 days ago


Vadodara India Qualifacts Full time

Job Description Responsibilities Job Description: - Investigate and resolve complex denial issues. - Analyze denial trends to identify areas for process improvement. - Initiate and lead payer calls for escalated denial inquiries, follow-up and disputes. - Develop and implement strategies to reduce denial rates and improve reimbursement. - Collaborate with internal stakeholders to address root causes of denials. - Mentor Level 1 is associate with advanced AR/Denial management techniques. - Prepare and submit appeals for denied claims as needed. - Maintain comprehensive documentation of denial activities and outcomes. Requirements - Associate degree in healthcare administration or related field (preferred). - Minimum of 2 years of experience in AR/Denial management or revenue cycle management. - Proficiency in medical billing software and denial tracking systems. - Strong problem-solving and analytical skills. - Ability to effectively communicate with payers to negotiate claim resolutions. - Leadership skills and ability to work independently. - Attention to detail and accuracy in data analysis and reporting. Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.


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