RCMS AR Specialist III

Job Description:

• Investigate and resolve complex denial issues.
  
  
  
  
• Analyze AR/Denial trends to identify areas for process improvement.
• Initiate and lead payer calls for escalated denial inquiries 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 associates on advanced 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).
• Minimum of 2 years of experience in AR/Denial management or revenue cycle management.
• 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.