RCM Associate II-1

IHCS Technologies India Private Limited; Vadodara; On-site; INR 450,000 - 750,000; Full time

Job summary

Qualifacts in Vadodara, India, is seeking a Rejection Associate II to handle complex medical claim rejections through in-depth analysis and collaboration with billing specialists or healthcare providers.

You will develop strategies to reduce rejection rates and improve revenue cycle efficiency, and you will train Level 1 associates on resolving complex issues.

Qualifications

• Identify root causes of claim rejection and implement corrective actions.
• Handle complex rejection cases requiring in-depth analysis.
• Collaborate with billing specialists or healthcare providers to address systemic issues.
• Provide training to Level 1 associates on resolving complex rejection issues.
• Participate in cross-functional teams to discuss process improvements.

Responsibilities

• Develop and implement strategies to reduce claim rejection rates.
• Improve overall revenue cycle efficiency.
• Train Level 1 associates on resolving complex rejection issues.
• Collaborate with billing specialists and healthcare providers to address systemic issues.
• Participate in cross-functional teams to discuss process improvements.

Skills

Healthcare administration

Medical billing

Root cause analysis

Billing software proficiency

Data interpretation

Task prioritization

Project management

Problem-solving

Decision-making

Education

Associate's degree in healthcare administration or related field

Tools

Billing software

Analytical tools

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.

For more than 20 years, Qualifacts has delivered thoughtful innovation, technology, support, and services to the behavioral health and human services market. Most recently, Qualifacts has been on a mission to expand its portfolio to support the patient continuum, from the initial appointment request to final billing and reporting, and everything in between.

Qualifacts has headquarters in Nashville and Tampa with employees across the globe, many with strong healthcare and clinical backgrounds to help bring you the best solutions possible.