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Qualifacts Systems
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RCMS AR Mgmt Specialist

RCMS AR Mgmt Specialist

Qualifacts Systems

1 - 2 years

3 - 4 Lacs

vadodara

Posted:23 hours ago| Platform:

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Skills Required

denial management claims process improvement healthcare appeals ups management revenue cycle management

Work Mode

Work from Office

Job Type

Full Time

Job Description

Responsibilities: Investigate and resolve complex denial issues. Analyze denial trends to identify opportunities for process improvement. Initiate and lead payer calls for escalated denial inquiries, follow-ups, and disputes. Develop and implement strategies to reduce denial rates and enhance 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 outcomes.

Requirements: Associate degree in healthcare administration or a related field (preferred). Minimum of 1-2 years of experience in AR/Denial management or revenue cycle management.

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Qualifacts Systems

Software Development

Nashville Tennessee

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RCMS AR Mgmt Specialist