RCMS Denials Analyst I

Job Description:

Responsibilities:

• Investigate and resolve complex denial issues.

• Analyze denial trends to identify opportunities for process improvement.

• Initiate and lead payer calls for escalated denial inquiries, follow-ups, and disputes.

• Develop and implement strategies to reduce denial rates and enhance reimbursement.

• Collaborate with internal stakeholders to address root causes of denials.

• Prepare and submit appeals for denied claims as needed.

• Maintain comprehensive documentation of denial activities and outcomes.

Requirements:

• Bachelor’s degree in any discipline.

• Candidates with a minimum of 6 months of experience in Accounts Receivable (AR) & Denial Management

Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.