Job Description:

Responsibilities:

• Investigate and resolve denial-related issues.
• Analyze denial trends and identify process improvement opportunities.
• Conduct payer calls for denial follow-ups, escalations, and dispute resolution.
• Develop strategies to reduce denials and improve reimbursements.
• Collaborate with internal teams to address root causes of denials.
• Prepare and submit appeals for denied claims.
• Maintain accurate documentation of denial activities and outcomes.
  

Requirements:

• Associate degree in Healthcare Administration or a related field (preferred).
• 0–1 years of experience in AR/Denial Management or Revenue Cycle Management.
• Strong analytical and problem-solving skills.
• Good communication and interpersonal skills.
• Proficiency in MS Office, especially Excel.

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