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Open nowPosted 10 days ago

RCMS Denials Analyst III

Qualifacts15 open roles

Where
Vadodara
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Your applicationOpen nowRCMS Denials Analyst IIIQualifacts · Vadodara

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  2. CV RocketCV written for this posting.

  3. 25 readersRecruiter, hiring manager, skeptic. Round after round.

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The clock on this job

Early applications get read.

13.9% of postings close within 7 days. Measured by our own scanner across the market. Qualifacts postings stay open a median of 16 days.

Share of postings closed within
  1. 2.2%1 day
  2. 4.7%3 days
  3. 13.9%7 days
  4. 22.4%14 days
  5. 38.1%30 days
  6. 59.0%60 days
This job: posted 10 days ago

Qualifacts median: 16 days open

The posting

Job Description:

Responsibilities

  • Lead the resolution of escalated billing issues and payer disputes.
  • Manage payer calls for complex billing inquiries, negotiations, and dispute resolution.
  • Develop and implement strategies to improve revenue cycle efficiency and effectiveness.
  • Conduct regular audits to ensure billing accuracy and compliance.
  • Provide training, mentorship, and ongoing support to junior associates and team members.
  • Collaborate with leadership to develop, track, and monitor key performance indicators (KPIs).
  • Stay updated on industry trends, regulatory changes, and revenue cycle management best practices.

Requirements

  • Bachelor's degree in Healthcare Administration, Finance, or a related field.
  • Minimum 5 years of progressive experience in AR/Denials Management
  • Strong knowledge of healthcare billing regulations, payer guidelines, and compliance standards.
  • Proven leadership, coaching, and mentoring abilities.
  • Excellent communication, presentation, and stakeholder management skills.
  • Proficiency in data analysis, reporting, and performance-tracking tools.
  • Ability to drive process improvements and implement change effectively.
  • Strong analytical, problem-solving, and decision-making capabilities.

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

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3×

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