Job Description:
Responsibilities:
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Investigate and resolve complex AR/Denial issues.
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Analyze denial trends to identify areas for process improvement.
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Initiate and lead payer calls for escalated denial inquiries and disputes.
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Develop and implement strategies to reduce Aging & Denial rates and improve reimbursement.
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Collaborate with internal stakeholders to address root causes of denials.
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Mentor Level 1 associates on advanced AR/Denial management techniques.
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Prepare and submit appeals for denied claims as needed.
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Maintain comprehensive documentation of denial activities and outcomes.
Requirements:
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Associate degree in healthcare administration or related field (preferred).
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Minimum of 2 years of experience in denial management or revenue cycle management.
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Proficiency in medical billing software and denial tracking systems.
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Strong problem-solving and analytical skills.
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Ability to effectively communicate with payers to negotiate claim resolutions.
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Leadership skills and ability to work independently.
Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
