Job Description:

Responsibilities:

• Investigate and resolve complex AR/Denial issues.
• Analyze denial trends and identify process improvement opportunities.
• Initiate and lead payer calls for escalated denial inquiries and disputes.
• Develop and implement strategies to reduce aging and denial rates.
• Collaborate with internal stakeholders to address denial root causes.
• Mentor Level 1 associates on advanced AR/Denial management techniques.
• Prepare and submit appeals for denied claims.
• Maintain comprehensive documentation of denial activities and outcomes.

Requirements:
• Associate degree in Healthcare Administration or a related field (preferred).
• Minimum 2+ years of experience in Denial Management or Revenue Cycle Management.
• Proficiency in medical billing software and denial tracking systems.
• Strong analytical and problem-solving skills.
• Effective communication and negotiation skills with payers.
• Ability to work independently and demonstrate leadership capabilities.

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

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