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 cutting-edge 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 has a loyal customer base, with more than 2,500 customers representing 75,000 providers serving more than 6 million patients. 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.
Shift: -NIGHT/US SHIFT. 6:30pm-3:30am IST.




Remote applicants will not be considered.

Responsibilities
Investigate AR/Denial issues: Resolve complex accounts receivable and denial cases with thorough analysis.
Analyze denial trends: Identify recurring issues and recommend process improvements.
Lead payer calls: Initiate and manage escalated discussions with payers to resolve disputes.
Develop strategies: Implement solutions to reduce aging accounts and denial rates, improving reimbursement outcomes.
Collaborate with stakeholders: Work cross-functionally to address root causes of denials.
Mentor associates: Train and guide Level 1 team members on advanced denial management techniques.
Prepare appeals: Draft and submit appeals for denied claims when necessary.
Maintain documentation: Ensure comprehensive records of denial activities and outcomes.

Requirements
Education: Associate degree in healthcare administration or related fiel

📌 Rcms Ar Specialist Ii Vadodara
🏢 Qualifacts
📍 Vadodara