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RCMS AR Specialist II
Qualifacts
Vadodara, IND
Full-time
Entry · 1+ years experience
Onsite
Discovered 2 weeks ago
Free
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Responsibilities
- Investigate and resolve complex denial issues.
- Analyze denial trends to identify opportunities for process improvement.
- Initiate and lead payer calls for escalated denial inquiries, follow-ups, and
- disputes.
- Develop and implement strategies to reduce denial rates and enhance
- reimbursement.
- Collaborate with internal stakeholders to address root causes of denials.
- Prepare and submit appeals for denied claims as needed.
- Maintain comprehensive documentation of denial activities and outcomes.
- Address denials at the root cause by requesting appropriate rules and system
- edits after partner approval.
- Identify and analyze denial trends and escalate to supervisor for further
- resolution.
Requirements
- Bachelor’s degree in any discipline.
- Strong problem-solving and analytical skills and work towards resolution.
- Candidates with 1-2 years of experience in Accounts Receivable (AR) & Denial
- Management
- Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
About Qualifacts
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