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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 and resolve complex denial issues.





· Analyze denial trends to identify areas for process improvement.

· Initiate and lead payer calls for escalated denial inquiries, follow-up and disputes.

· Develop and implement strategies to reduce denial rates and improve 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 outcome

Requirements:

· Associate degree in healthcare administration or related field (preferred).

· Proficiency in medical billing software and denial tracking systems.

· Solid problem-solving and analytical skills.

· Ability to effectively communicate with payers to negotiate claim resolutions.

· Leadership skills and ability to work independently.

· Attention to detail and accuracy in data analysis and reporting.

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

📌 Rcms Denials Analyst I Vadodara
🏢 Qualifacts
📍 Vadodara