RCMS Denials Analyst II

The ideal candidate for this position will be responsible for investigating and resolving complex denial issues. You will be required to analyze denial trends to identify areas for process improvement and develop strategies to reduce denial rates and improve reimbursement. Collaboration with internal stakeholders to address root causes of denials will be a key aspect of the role. Additionally, you will mentor Level 1 associates on advanced denial management techniques and prepare and submit appeals for denied claims as needed. It will also be essential to maintain comprehensive documentation of denial activities and outcomes. To be considered for this position, you should ideally have an Associate degree in healthcare administration or a related field. A minimum of 2 years of experience in denial management or revenue cycle management is required. Proficiency in medical billing software and denial tracking systems is essential. Strong problem-solving and analytical skills are a must, along with leadership skills and the ability to work independently. Attention to detail and accuracy in data analysis and reporting are also important qualities for this role. Qualifacts is an equal opportunity employer that values diversity and is dedicated to fostering an inclusive environment for all employees.,