RCMS AR Specialist I

Tishman Speyer Properties; Vadodara; On-site; INR 300,000 - 500,000; Full time

Job summary

Qualifacts is seeking an AR/Denial Management Associate to support healthcare revenue cycle operations in Vadodara. You will investigate denial issues, analyze denial trends, and coordinate with payers to resolve escalations and disputes, contributing to improved cash flow.

This entry‑level role requires an associate degree, strong analytical skills, Excel proficiency, and the ability to manage multiple tasks with accuracy.

Qualifications

• Associate degree in healthcare administration or related field (preferred).
• 0–1 year of experience in AR/Denial Management or Revenue Cycle Management.
• Basic understanding of medical billing, claims processing, and denial management concepts.
• Strong analytical and problem-solving skills.
• Proficiency in Microsoft Excel and MS Office.
• Excellent verbal and written communication skills.
• Ability to manage multiple tasks and meet deadlines.
• Detail-oriented and accurate.
• Team-oriented with collaborative mindset.
• Willingness to learn in a fast-paced healthcare revenue cycle setting.

Responsibilities

• Investigate and resolve complex denial issues.
• Analyze denial trends and 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 improve reimbursements.
• Collaborate with internal stakeholders to address root causes of denials.
• Prepare and submit appeals for denied claims when necessary.
• Maintain accurate and comprehensive documentation of denial activities and outcomes.

Skills

Analytical skills

Problem-solving

Communication skills

Attention to detail

Time management

Teamwork

Willingness to learn

Denial management basics

Education

Associate degree in Healthcare Administration

Tools

Excel

MS Office

Job description

Job Description

Responsibilities

• Investigate and resolve complex denial issues.
• Analyze denial trends and 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 improve reimbursements.
• Collaborate with internal stakeholders to address the root causes of denials.
• Prepare and submit appeals for denied claims when necessary.
• Maintain accurate and comprehensive documentation of denial activities and outcomes.

Requirements

• Associate degree in Healthcare Administration, Business Administration, or a related field (preferred).
• 0 to 1 years of experience in AR/Denial Management or Revenue Cycle Management.
• Basic understanding of medical billing, claims processing, and denial management concepts.
• Strong analytical and problem-solving skills.
• Proficiency in Microsoft Office applications, particularly Microsoft Excel.
• Excellent verbal and written communication skills.
• Ability to manage multiple tasks and meet deadlines.
• Strong attention to detail and accuracy.Ability to work collaboratively in a team-oriented environment.
• Willingness to learn and adapt in a fast-paced healthcare revenue cycle setting.

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.