RCMS AR Specialist I

Qualifacts Systems Inc.; Vadodara; On-site; INR 400,000 - 520,000; Full time

Job summary

Qualifacts is seeking an AR Specialist I in Vadodara to investigate and resolve complex denial issues, analyze denial trends, and lead payer calls for escalated inquiries. The role focuses on reducing denial rates and improving reimbursement while collaborating with internal stakeholders.

The ideal candidate will have an associate degree in healthcare administration or related field, proficiency in medical billing software and denial tracking systems, strong analytical skills, and the ability to

Qualifications

• Associate degree in healthcare administration or related field preferred.
• Proficiency in medical billing software and denial tracking systems.
• Strong problem-solving and analytical skills.
• Ability to communicate effectively with payers to negotiate resolutions.
• Leadership and ability to work independently.

Responsibilities

• Investigate and resolve complex denial issues.
• Analyze denial trends to identify areas for process improvement.
• Initiate and lead payer calls for escalated denial inquiries, follow-up and disputes.
• Develop and implement strategies to reduce denial rates and improve reimbursement.
• Collaborate with internal stakeholders to address root causes of denials.
• Mentor Level 1 is associate with advanced AR/Denial management techniques.
• Prepare and submit appeals for denied claims as needed.
• Maintain comprehensive documentation of denial activities and outcomes.

Skills

Analytical skills

Payer negotiation

Leadership

Attention to detail

Communication with payers

Education

Associate degree in healthcare administration or related field

Tools

Medical billing software

Denial tracking systems

Job description

## RCMS AR Specialist IApply: Vadodara: Full time: Posted Today: R-102698**Job Description:****Responsibilities** · Investigate and resolve complex denial issues.· Analyze denial trends to identify areas for process improvement.· Initiate and lead payer calls for escalated denial inquiries, follow-up and disputes.· Develop and implement strategies to reduce denial rates and improve reimbursement.· Collaborate with internal stakeholders to address root causes of denials.· Mentor Level 1 is associate with advanced AR/Denial management techniques.· Prepare and submit appeals for denied claims as needed.· Maintain comprehensive documentation of denial activities and outcomes. **Requirements:** · Associate degree in healthcare administration or related field (preferred).· Proficiency in medical billing software and denial tracking systems.· Strong problem-solving and analytical skills.· Ability to effectively communicate with payers to negotiate claim resolutions.· Leadership skills and ability to work independently.· Attention to detail and accuracy in data analysis and reporting.Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.