RCMS AR Specialist II

Role Overview: Qualifacts is seeking an RCMS AR Specialist II to join their team in Vadodara. As an RCMS AR Specialist II, you will be responsible for pursuing Accounts Receivable (AR) follow-ups, scrutinizing historical data of claims, conducting eligibility verifications, updating demographic and insurance information, addressing escalated issues, maintaining comprehensive logs of AR issues, achieving set Turnaround Time (TAT), and adhering to quality standards. Your role will also involve monitoring personal productivity, tracking day-to-day task workloads, and undertaking any other duties as required. Key Responsibilities: - Pursuing Accounts Receivable (AR) follow-ups, involving interactions with insurance companies, utilizing website resources, and other relevant methods. - Scrutinizing and overseeing the historical data of claims. - Conducting eligibility verifications. - Resubmitting claims as necessary. - Updating demographic and insurance information. - Addressing escalated issues and identifying trends. - Upholding and monitoring Quality scores and accuracy levels. - Maintaining comprehensive logs of AR issues. - Achieving set Turnaround Time (TAT) and adhering to quality standards. - Adhering to established practice guidelines. - Monitoring personal productivity, tracking day-to-day task workloads. - Undertaking any other duties as required. Qualifications Required: - 1 + years of experience in AR/Denial management or Revenue Cycle Management, US Healthcare. - Bachelors degree in healthcare or related field (or equivalent experience). Please note that this is an onsite position in the Vadodara office with night shift hours from 6:30 pm to 3:30 am IST. Remote applicants will not be considered. Qualifacts is an equal opportunity employer that celebrates diversity and is committed to creating an inclusive environment for all employees.,