VADODARA · FULLTIME
RCMS AR Specialist II
Qualifacts Systems
Vadodara · onsite · Posted 7d ago
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Not disclosed2–4 yrsfulltimeVadodara
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Section · 01
About this role
Responsibilities
Job Description:
Job Description:
- 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.
- 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.
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Section · 02
Skills
medical billing softwaredenial tracking systems
Section · Company
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
Compensation & Benefits40Company Culture38
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