RCMS AR Specialist II

2 days ago

Vadodara, Gujarat, India Qualifacts Full time ₹ 3,00,000 - ₹ 9,00,000 per year

Job Description:

Responsibilities

  • Investigate and resolve complex AR/denial issues.

  • Analyze denial trends to identify areas for process improvement.

  • Initiate and lead payer calls for escalated denial inquiries and disputes.

  • Develop and implement strategies to reduce aging and denial rates while improving reimbursement.

  • Collaborate with internal stakeholders to address root causes of denials.

  • Mentor Level 1 associates in 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 a related field (preferred).

  • Minimum of 1.5 years' experience in denial management or revenue cycle management.

  • Proficiency in medical billing software and denial-tracking systems.

  • Strong problem-solving and analytical skills.

  • Ability to communicate effectively with payers to negotiate claim resolutions.

Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

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