RCMS AR Mgmt Specialist
Qualifacts (company site, opens in a new tab)VadodaraOn-siteDirect career pageEst. 3.5–6 LPA
Posted 14h ago
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Job description
Structured overview of role & requirements
About This Role
- Investigate and resolve complex denial issues to improve claim reimbursement.
- Lead and coordinate payer calls regarding escalated denial inquiries and disputes.
- Develop and implement strategies to reduce denial rates through process improvements.
Minimum Requirements
- Associate degree in healthcare administration or a related field preferred.
- Work Experience Required: Not explicitly mentioned in the JD.
- Specific technical skills related to denial management or healthcare claims not explicitly mentioned.
- No explicit location, notice period, or regulatory constraints mentioned.
Ideal Candidate Profile
- Experienced in handling and analyzing healthcare claim denials with measurable impact on reimbursement.
- Able to lead interactions with payers and internal teams to resolve escalated issues.
- Demonstrated ability to develop and execute strategies that reduce denial rates and improve processes.