RCMS AR Specialist I

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). ·       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.