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Qualifacts

RCMS AR Mgmt Specialist

Vadodara

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hirly's read of this role

Seniority
Mid level
Country
IN
Work mode
On-site / unstated
First seen by hirly
4 Nov 2026

Derived automatically from the posting. Upload your resume above to see how the role scores against it.

the posting

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: Associate degree in healthcare administration or a related field (preferred).

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

Original posting on Qualifacts's site ↗

Listed on hirly, a job board. hirly is not the employer: Qualifacts is hiring for this role.

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