RCMS AR Mgmt Specialist

2 - 6 years

3 - 7 Lacs

Vadodara

Posted:2 months ago| Platform: Naukri logo

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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

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 2 years of experience in AR/Denial management or revenue cycle management. Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

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Qualifacts Systems
Qualifacts Systems

Software Development

Nashville Tennessee

1001-5000 Employees

39 Jobs

    Key People

  • Matt O’Brien

    CEO
  • Ashley York

    Chief Marketing Officer

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