- Location
- Vadodara, India
- Type
- Full-time
- Experience
- 1+ years
- Source
- Workday
Description
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.
- Address denials at the root cause by requesting appropriate rules and system
edits after partner approval.
- Identify and analyze denial trends and escalate to supervisor for further
resolution.
Requirements:
- Bachelor’s degree in any discipline.
- Strong problem-solving and analytical skills and work towards resolution.
- Candidates with 1-2 years 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.
Skills
Accounts Receivable
