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RCMS AR Specialist III at Qualifacts - ApplyBlast

RCMS AR Specialist III

Qualifacts

4 months ago

3.4 on Glassdoor

Vadodara, India

Onsite

Full Time

Senior

0 applicants

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About this role

A Senior Accounts Receivable Specialist at Qualifacts investigates and resolves complex medical claim denials to enhance reimbursement rates and compliance. The role involves analyzing denial trends, leading payer disputes, and collaborating with stakeholders to implement strategies that reduce denial volumes.

Responsibilities

Investigate and resolve complex medical claim denial issues
Analyze denial trends to identify process improvement opportunities
Initiate and lead payer calls for escalated denial inquiries
Develop strategies to reduce denial rates and enhance reimbursement
Collaborate with internal stakeholders to address root causes of denials

Skills

Qualifications

BS in any discipline

About Qualifacts

qualifacts.com

Headquarters

Nashville, Tennessee, United States

Company Size

1001-5000 employees

Founded

2000

View Profile

Leading behavioral health EHR software and electronic healthcare record solutions built to modernize care, manage workflows and improve patient outcomes.