RCM Associate II-1

Qualifacts Systems Inc.; Vadodara; On-site; INR 400,000 - 560,000; Full time

Job summary

Qualifacts is seeking a RCM Rejection Associate II in Vadodara, Gujarat, to handle complex rejection cases, conduct in-depth analyses, and collaborate with billing specialists or providers to address systemic issues in the revenue cycle.

You will develop and implement strategies to reduce rejection rates, provide guidance to Level 1 associates, and participate in cross-functional teams to drive process improvements and best practices.

Qualifications

• Associate's 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 and analytical tools for data interpretation.
• Ability to prioritize tasks and manage multiple projects simultaneously.
• Strong problem-solving and decision-making skills.

Responsibilities

• Handle complex rejection cases requiring in-depth analysis or investigation.
• Collaborate with billing specialists or providers to address systemic issues contributing to claim rejection.
• Develop and implement strategies to reduce claim rejection rates and improve 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

Prioritization & multi-tasking

Problem solving & decision making

Education

Associate's degree or equivalent in healthcare administration/medical billing

Tools

Billing software

Analytical tools

Job description

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

• Associate's 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.