RCM Associate II

2 weeks ago

Vadodara, Gujarat, India Qualifacts Full time ₹ 1,50,000 - ₹ 28,00,000 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 investigation.
  • Collaborate with billing specialists or healthcare providers to address systemic issues contributing to claim rejection.
  • Develop and implement strategies to reduce claim rejection rates and improve overall revenue cycle efficiency.
  • Provide training or guidance to Level 1 associates on resolving complex rejection issues.
  • Participate in cross-functional teams or meetings to discuss process improvements and best practices.

Skills/Qualifications

  • Associate's degree or equivalent experience in healthcare administration, medical billing, or a related field.
  • Demonstrated experience in identifying root causes of claim rejection and implementing corrective actions.
  • Proficiency in using advanced features of billing software or analytical tools for data interpretation.
  • Ability to prioritize tasks and manage multiple projects simultaneously.
  • Strong problem-solving and decision-making skills.

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

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