RCMS AR Specialist I
Qualifacts (company site, opens in a new tab)VadodaraOn-siteDirect career pageEst. 3–4.5 LPA
Posted 10h ago
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Job description
Structured overview of role & requirements
About This Role
- Own the investigation and resolution of complex claim denial issues and lead payer communications for escalated inquiries and disputes.
- Analyze denial trends and develop strategies to reduce denial rates and improve reimbursement outcomes.
- Mentor Level 1 associates on advanced AR/Denial management techniques and maintain documentation of denial activities and results.
Minimum Requirements
- Permanent onsite role based in Vadodara, India with shift 5:30 PM to 2:30 AM IST.
- Associate degree in healthcare administration or related field preferred.
- Proficiency in medical billing software and denial tracking systems.
- Work Experience Required: Not explicitly mentioned in the JD.
Ideal Candidate Profile
- Experienced in accounts receivable and denial management in healthcare or behavioral health sector.
- Skilled in handling escalated payer communications and resolving complex claim denials.
- Capable of mentoring junior team members and working independently with leadership responsibilities.