Responsibilities:

- Investigate and resolve complex denial issues.
- Analyze denial trends to identify opportunities for process improvement.
- Initiate and lead payer calls for escalated denial inquiries, follow-ups, and

disputes.
- Develop and implement strategies to reduce denial rates and enhance

reimbursement.
- Collaborate with internal stakeholders to address root causes of denials.
- Prepare and submit appeals for denied claims as needed.
- Maintain comprehensive documentation of denial activities and outcomes.
- Address denials at the root cause by requesting appropriate rules and system

edits after partner approval.
- Identify and analyze denial trends and escalate to supervisor for further

resolution.

Requirements:

- Bachelor s degree in any discipline.




- Strong problem-solving and analytical skills and work towards resolution.
- Candidates with 1-2 years of experience in Accounts Receivable (AR) & Denial

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

Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.

📌 RCMS AR Specialist II (Vadodara)
🏢 Qualifacts Systems
📍 Vadodara