RCMS AR Mgmt Specialist

IHCS Technologies India; Vadodara; On-site; INR 400,000 - 700,000; Full time

Job summary

IHCS Technologies India is seeking a skilled denial management professional to investigate complex denial issues, analyze trends, and lead payer calls for escalated inquiries and disputes.

You will develop strategies to reduce denial rates, improve reimbursement, and collaborate with internal teams to address root causes. Prepare and submit appeals as needed and maintain thorough documentation of all denial activities and outcomes.

Qualifications

• Associate degree in healthcare administration or a related field is preferred.

Responsibilities

• Investigate and resolve complex denial issues.
• Analyze denial trends to identify opportunities for process improvement.
• Initiate and lead payer calls for escalated denial inquiries, follow-ups, and disputes.
• Develop and implement strategies to reduce denial rates and enhance reimbursement.
• Collaborate with internal stakeholders to address root causes of denials.
• Prepare and submit appeals for denied claims as needed.
• Maintain comprehensive documentation of denial activities and outcomes.

Education

Associate degree in healthcare administration or a related field

Job description

Responsibilities

• Investigate and resolve complex denial issues.
• Analyze denial trends to identify opportunities for process improvement.
• Initiate and lead payer calls for escalated denial inquiries, follow-ups, and disputes.
• Develop and implement strategies to reduce denial rates and enhance reimbursement.
• Collaborate with internal stakeholders to address root causes of denials.
• Prepare and submit appeals for denied claims as needed.
• Maintain comprehensive documentation of denial activities and outcomes.

Requirements

• Associate degree in healthcare administration or a related field (preferred).

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