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RCMS Denials Analyst II

RCMS Denials Analyst II

Qualifacts Systems

2 - 7 years

1 - 4 Lacs

Vadodara

Posted:1 day ago| Platform:

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Skills Required

Analytical skills Data analysis Denial management Claims Medical billing Process improvement Healthcare Appeals Analyst II 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 areas for process improvement. Initiate and lead payer calls for escalated denial inquiries 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 associates on advanced denial management techniques. Prepare and submit appeals for denied claims as needed. Maintain comprehensive documentation of denial activities and outcome Requirements: Requirements: 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. 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. 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

www.qualifacts.com

Software Development

Nashville Tennessee

1001-5000 Employees

13 Jobs

Key People

Matt O’Brien

CEO
Ashley York

Chief Marketing Officer
Kristin Morgan

Chief Financial Officer

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RCMS Denials Analyst II

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RCMS Denials Analyst II

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