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 & Denial rates and improve reimbursement.

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

- Mentor Level 1 associates on 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 related field (preferred).

- Minimum of 2 years of 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 effectively communicate with payers to negotiate claim resolutions.

- Leadership skills and ability to work independently.

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

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

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