RCM Specialist

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....

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 domainHandle more complex rejection cases that require in-depth analysis or...

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...

Hiring a detail-oriented EDI Rejection Specialist for US Healthcare billing to analyze and resolve claim rejections for timely reimbursement. Must have strong communication skills to work with teams, clients, and payers. Required Candidate profile5-7 yrs US Healthcare RCM experience in EDI claim management. Strong knowledge of transactions, claim...

Seeking experienced Team Lead – Payment Posting with EOB/ERA & eCW expertise. Must have 5+ yrs in US RCM & strong leadership skills. Deep RCM knowledge & accuracy in payment posting required.

Key ResponsibilitiesDesign, develop, and maintain dashboards and reports to support RCMS operations, including work allocation, production efficiency, and performance tracking.Partner with the U.S. Director of Operations, RCMS, to align on departmental metrics, KPIs, and reporting standards.Collaborate with RCMS Revenue Optimization team to analyze RCM data...

Seeking a skilled Dental Payment Posting Specialist with denial management expertise. Must have strong RCM knowledge, dental insurance experience & claim denial resolution skills. Required Candidate profileExperienced in dental billing/posting with denial management. Skilled in WinOMS, OMSVision, DSN. Proficient in CDT coding, EOBs, insurance....

Join our team as an AR Follow-Up/Calling Specialist Manage accounts receivable, ensure timely insurance claim follow-ups, and optimize reimbursements in a dynamic healthcare RCM environment. Immediate openings available. Apply now Required Candidate profileExperienced AR Callers or AR Follow Up. Proficiency in AR calling, denials resolution. Immediate...

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...

Seeking an experienced SME in Medical Billing Rejections & Denials with 5+ years in U.S. healthcare billing, strong payer knowledge, and analytical skills to drive RCM improvements. Required Candidate profileBachelor's in Science/Pharmacy/B.Pharm. 5+ yrs in U.S. billing (denials). CPT/ICD, payer rules, EHR skills. CPC pref. Strong analytical & leadership....