RCM Associate II-1

Qualifacts Systems; Vadodara; On-site; INR 350,000 - 550,000; Full time

Job summary

Qualifacts Systems is seeking a RCM Rejection Associate II to handle complex rejection cases and partner with billing specialists to address systemic issues in the revenue cycle. You will develop strategies to reduce rejection rates and guide Level 1 associates in resolving intricate issues.

The role requires strong root-cause analysis, proficiency with billing software, and excellent problem-solving abilities to drive process improvements across teams.

Qualifications

• Associates degree or equivalent in healthcare administration, medical billing, or related field.
• Experience identifying root causes of claim rejection and implementing corrective actions.
• Proficiency with billing software or analytical tools for data interpretation.
• Ability to prioritize tasks and manage multiple projects simultaneously.
• Strong problem-solving and decision-making skills.

Responsibilities

• Handle more complex rejection cases that require in-depth analysis or investigation.
• Collaborate with billing specialists or healthcare providers to address systemic issues contributing to claim rejection.
• Develop and implement strategies to reduce claim rejection rates and improve overall revenue cycle efficiency.
• Provide training or guidance to Level 1 associates on resolving complex rejection issues.
• Participate in cross-functional teams or meetings to discuss process improvements and best practices.

Skills

Root-cause analysis

Billing software proficiency

Prioritization & multitasking

Problem-solving & decision-making

Education

Associate degree in healthcare administration or related field

Job description

RCM Rejection Associate II

• Handle more complex rejection cases that require in-depth analysis or investigation.
• Collaborate with billing specialists or healthcare providers to address systemic issues contributing to claim rejection.
• Develop and implement strategies to reduce claim rejection rates and improve overall revenue cycle efficiency.
• Provide training or guidance to Level 1 associates on resolving complex rejection issues.
• Participate in cross-functional teams or meetings to discuss process improvements and best practices.

Skills/Qualifications

• Associates degree or equivalent experience in healthcare administration, medical billing, or a related field.
• Demonstrated experience in identifying root causes of claim rejection and implementing corrective actions.
• Proficiency in using advanced features of billing software or analytical tools for data interpretation.
• Ability to prioritize tasks and manage multiple projects simultaneously.
• Strong problem-solving and decision-making skills.

Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.