RCMS AR Specialist II

Job Description:

Responsibilities:

• •Investigate and resolve complex AR/Denial issues.
• •Analyze denial trends and identify process improvement opportunities.
• •Initiate and lead payer calls for escalated denial inquiries and disputes.
• •Develop and implement strategies to reduce aging and denial rates.
• •Collaborate with internal stakeholders to address denial root causes.
• •Mentor Level 1 associates on advanced AR/Denial management techniques.
• •Prepare and submit appeals for denied claims.
• •Maintain comprehensive documentation of denial activities and outcomes.

Requirements:

• •Associate degree in Healthcare Administration or a related field (preferred).
• •Minimum 2+ years of experience in Denial Management or Revenue Cycle Management.
• •Proficiency in medical billing software and denial tracking systems.
• •Strong analytical and problem-solving skills.
• •Effective communication and negotiation skills with payers.
• •Ability to work independently and demonstrate leadership capabilities.

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