About this role
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.