RCMS AR Specialist I
Qualifacts Systems · Vadodara · onsite · Posted 53d ago
Not disclosedFresherfulltimeSourced from
About a minute. You'll make an account on the way through.
About this role
Responsibilities
Job Description:
Job Description:
- 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.
- Mentor Level 1 is associate with advanced AR/Denial management techniques.
- Prepare and submit appeals for denied claims as needed.
- Maintain comprehensive documentation of denial activities and outcomes.
- Associate degree in healthcare administration or related field (preferred).
- 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.
- Attention to detail and accuracy in data analysis and reporting.
Sourced from foundit
Skills
AR Denial management techniquesmedical billing softwaredenial tracking systems
About Qualifacts Systems
Qualifacts Systems
IT Services & Consulting
1001-5000
employees
Nashville, Tennessee
United States
₹11.2L PA avg
Avg at Qualifacts Systems
About
Qualifacts Systems provides comprehensive EHR solutions tailored for behavioral health and related sectors, aiming to improve care standards and community well-being.
Industries
Health CareInformation TechnologySoftware
Employee ratings
10 reviews
3.6/ 5
Culture
3.9
Career growth
2.8
Work-life
3.9
Employees rate it well for
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