RCMS AR Specialist II

7 days ago

Vadodara, Gujarat, India Qualifacts Full time ₹ 6,00,000 - ₹ 8,00,000 per year

Job Description:

Responsibilities:

·       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.

  • AR Specialist II

    7 days ago

    Vadodara, Gujarat, India Qualifacts Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    Job Description:Qualifacts 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....

  • Supervisor, RCMS AR

    4 days ago

    Vadodara, Gujarat, India Ihcs Technologies Full time ₹ 12,00,000 - ₹ 18,00,000 per year

    Job DescriptionQualifacts 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....

  • RCM Associate II

    2 days ago

    Vadodara, Gujarat, India Qualifacts Full time ₹ 40,00,000 - ₹ 1,20,00,000 per year

    Job Description:Experience Required: Minimum 1–2 years of work experience in the same domain (RCM Rejection/AR/Denial Management).Work Schedule: Must be available to work in the EST time zone.Key Responsibilities:Min 1-2 years of work experience in the same domain Handle more complex rejection cases that require in-depth analysis or...

  • RCM Associate II

    7 days ago

    Vadodara, Gujarat, India Qualifacts Full time ₹ 2,50,000 - ₹ 5,00,000 per year

    Job Description:Job Description: RCM Rejection Associate (Intermediate Level)Qualifacts 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...

  • RCMS AR Specialist II

    7 days ago

    Vadodara, Gujarat, India Qualifacts Full time ₹ 5,00,000 - ₹ 15,00,000 per year

    Job Description: Qualifacts 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....

  • RCMS AR Specialist II

    2 weeks ago

    Vadodara, Gujarat, India Qualifacts Full time ₹ 4,00,000 - ₹ 6,00,000 per year

    Job Description:Qualifacts 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....

  • RCM AR Specialist

    1 week ago

    Vadodara, Gujarat, India Ihcs Technologies Full time ₹ 6,00,000 - ₹ 12,00,000 per year

    Role & ResponsibilitiesMinimum 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.Attention to detail and accuracy in data analysis and...

  • RCMS Associate II

    7 days ago

    Vadodara, Gujarat, India Qualifacts Full time ₹ 2,50,000 - ₹ 5,00,000 per year

    Job Description:Qualifacts 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....

  • RCM Manager

    7 days ago

    Vadodara, Gujarat, India Veradigm Asia Full time ₹ 8,00,000 - ₹ 12,00,000 per year

    Welcome to Veradigm Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an...

  • Supervisor, RCMS

    7 days ago

    Vadodara, Gujarat, India Qualifacts Full time ₹ 12,00,000 - ₹ 24,00,000 per year

    Job Description:Qualifacts 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....