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Qualifacts Systems
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RCMS AR Specialist II

RCMS AR Specialist II

Qualifacts Systems

2 - 5 years

4 - 7 Lacs

Vadodara

Posted:2 months ago| Platform:

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Skills Required

Analytical skills Data analysis Denial management Claims Medical billing Process improvement Healthcare Appeals Mentor 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 areas for process improvement. Initiate and lead payer calls for escalated denial inquiries, follow-up and disputes. Develop and implement strategies to reduce denial rates and improve reimbursement. Collaborate with internal stakeholders to address root causes of denials. Mentor Level 1 is associate with advanced AR/Denial management techniques. Prepare and submit appeals for denied claims as needed. Maintain comprehensive documentation of denial activities and outcomes. Requirements: Associate degree in healthcare administration or related field (preferred). Minimum of 2 years of experience in AR/Denial management or revenue cycle management. Proficiency in medical billing software and denial tracking systems. Strong problem-solving and analytical skills. Ability to effectively communicate with payers to negotiate claim resolutions. Leadership skills and ability to work independently. Attention to detail and accuracy in data analysis and reporting.

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Qualifacts Systems

Software Development

Nashville Tennessee

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RCMS AR Specialist II