RCMS Denials Analyst III

IHCS Technologies India Private Limited; Vadodara; On-site; INR 1,000,000 - 1,800,000; Full time

Job summary

IHCS Technologies India Private Limited is seeking an experienced healthcare AR/denials management leader for our Vadodara team. The role focuses on resolving escalated billing issues, managing payer calls, and mentoring junior staff to strengthen revenue cycle performance.

You will drive process improvements, ensure compliance with billing regulations, and collaborate with senior leadership to monitor KPIs and stay ahead of industry trends.

Qualifications

• Bachelor's degree in Healthcare Administration, Finance, or a related field.
• Minimum 5 years of progressive experience in AR/Denials Management.
• Strong knowledge of healthcare billing regulations, payer guidelines, and compliance standards.
• Proven leadership, coaching, and mentoring abilities.
• Excellent communication, presentation, and stakeholder management skills.
• Proficiency in data analysis, reporting, and performance-tracking tools.
• Ability to drive process improvements and implement change effectively.
• Strong analytical, problem-solving, and decision-making capabilities.

Responsibilities

• Lead the resolution of escalated billing issues and payer disputes.
• Manage payer calls for complex billing inquiries, negotiations, and dispute resolution.
• Develop and implement strategies to improve revenue cycle efficiency and effectiveness.
• Conduct regular audits to ensure billing accuracy and compliance.
• Provide training, mentorship, and ongoing support to junior associates and team members.
• Collaborate with leadership to develop, track, and monitor KPIs.
• Stay updated on industry trends, regulatory changes, and revenue cycle management best practices.

Skills

Leadership

Communication

Analytical thinking

Education

Bachelor's degree in Healthcare Administration, Finance, or a related field

Tools

Data analysis tools

Reporting tools

Job description

Job Description

Responsibilities

• Lead the resolution of escalated billing issues and payer disputes.
• Manage payer calls for complex billing inquiries, negotiations, and dispute resolution.
• Develop and implement strategies to improve revenue cycle efficiency and effectiveness.
• Conduct regular audits to ensure billing accuracy and compliance.
• Provide training, mentorship, and ongoing support to junior associates and team members.
• Collaborate with leadership to develop, track, and monitor key performance indicators (KPIs).
• Stay updated on industry trends, regulatory changes, and revenue cycle management best practices.

Requirements

• Bachelor's degree in Healthcare Administration, Finance, or a related field.
• Minimum 5 years of progressive experience in AR/Denials Management.
• Strong knowledge of healthcare billing regulations, payer guidelines, and compliance standards.
• Proven leadership, coaching, and mentoring abilities.
• Excellent communication, presentation, and stakeholder management skills.
• Proficiency in data analysis, reporting, and performance-tracking tools.
• Ability to drive process improvements and implement change effectively.
• Strong analytical, problem-solving, and decision-making capabilities.

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.