RCMS AR Specialist II

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).

·  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.