Technology Specialist

2 days ago

Vadodara, India Qualifacts Full time

is a leading provider of behavioral health software and SaaS solutions for clinical productivity, compliance and state reporting, billing, and business intelligence. Its mission is to be an innovative and trusted technology and end-to-end solutions partner, enabling exceptional outcomes for its customers and those they serve. Qualifacts’ comprehensive portfolio, including the CareLogic®, Credible™, and InSync® platforms, spans and serves the entire behavioral health, rehabilitative, and human services market supporting non-profit Certified Community Behavioral Health Clinics (CCBHC) as well as for-profit large enterprise and small business providers. Qualifacts was recognized in the 2022 and 2023 Best in KLAS: Software and Services report as having the top ranked Behavioral Health EHR solutions. This is an onsite position, 5 days/week, in the Vadodara office, Time, NIGHT SHIFT. Responsibilities for the RCMS AR Specialist II Pursuing Accounts Receivable (AR) follow-ups, involving interactions with insurance companies, utilizing website resources, and other relevant methods. Scrutinizing and overseeing the historical data of claims. Resubmitting claims as necessary. Upholding and monitoring Quality scores and accuracy levels. Achieving set Turnaround Time (TAT) and adhering to quality standards. Monitoring personal productivity, tracking day-to-day task workloads. Proficiency in medical billing software and denial tracking systems. Ability to effectively communicate with payers to negotiate claim resolutions. Attention to detail and accuracy in data analysis and reporting. 2 years of experience in AR/Denial management or Revenue Cycle Management, US Healthcare. Bachelor’s degree in healthcare or related field (or equivalent experience)

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