Responsibilities
Job Description:
- 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
- Bachelor's degree in any discipline.
- Candidates with a minimum of 6 months of experience in Accounts Receivable (AR) & Denial Management
Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
