QU

RCMS AR Specialist II

Qualifacts Systems Verified Enterprise Vadodara
Exp: 2-5 Yrs
Full Time
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Takes 30 seconds

Job Description & Scope

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. Role: Technical Support - Non Voice Industry Type: IT Services & Consulting Department: Customer Success, Service & Operations Employment Type: Full Time, Permanent Role Category: Non Voice Education UG: Any Graduate PG: Any Postgraduate Key Skills Analytical skillsData analysisDenial managementClaimsMedical billingProcess improvementHealthcareAppealsMentorRevenue cycle management

Job Summary

Company
Qualifacts Systems
Location
Vadodara
Experience
2-5 Yrs
Verification
Government Verified Recruiter
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RCMS AR Specialist II
Qualifacts Systems
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