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.

Requirements:

 Bachelor’s degree in any discipline.

 Freshers or 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.