RCMS Denials Analyst III

Qualifacts


Date: 2 hours ago
City: Vadodara, Gujarat
Contract type: Full time
Responsibilities

Job Description:

  • 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.

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