RCMS AR Specialist II
Qualifacts Systems · Vadodara · onsite · Posted 41d ago
Undisclosed2–7 yrsfulltimeSourced from
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About this role
Job Description
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 innovative 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 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 opportunity employer. We celebrate diversity and are committed to creating an inclusive environment 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.
Sourced from naukri
Skills
Negotiation SkillsEHRtracking systemsRevenue Cycle ManagementDenial ManagementProcess ImprovementHealthcareSAASMedical BillingAdministrationcomplianceBusiness Intelligence
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
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