RCMS AR Specialist II

As a leading provider of behavioral health software and SaaS solutions, Qualifacts is committed to enabling exceptional outcomes for its customers and those they serve. With a loyal customer base of more than 2,500 customers, Qualifacts is dedicated to innovation and trustworthiness. **Key Responsibilities:** - Investigate and resolve complex AR/Denial issues. - Analyze denial trends to identify areas for process improvement. - Develop and implement strategies to reduce Aging & Denial rates and improve reimbursement. - Collaborate with internal stakeholders to address root causes of denials. - Mentor Level 1 associates on advanced AR/Denial management techniques. - Prepare and submit appeals for denied claims as needed. - Maintain comprehensive documentation of denial activities and outcomes. **Qualifications Required:** - Associate degree in healthcare administration or related field (preferred). - Minimum of 2 years of experience in denial management or revenue cycle management. - Proficiency in medical billing software and denial tracking systems. - Strong problem-solving and analytical skills. - Leadership skills and ability to work independently. Please note that this is an onsite position at the Vadodara office, working the NIGHT SHIFT from 6:30pm-3:30am IST, 5 days a week. Remote applicants will not be considered. Qualifacts is an equal opportunity employer, celebrating diversity and committed to creating an inclusive environment for all employees.,