RCMS AR Specialist I

Responsibilities

• Review denied claims and identify reasons for denial.
• Research and resolve basic denial issues in a timely manner.
• Initiate payer calls for routine denial inquiries and follow-ups.
• Collaborate with billing and coding teams to address root causes of denials.
• Maintain accurate records of denial trends and resolutions.
• Assist with appeals preparation for denied claims.
• Provide support to other team members as needed.

Requirements

• High school diploma or equivalent.
• Basic understanding of medical billing and coding principles.
• Strong communication and interpersonal skills.
• Ability to work effectively in a team environment.
• Attention to detail and accuracy in work.
• Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Benefits

Additional Information

Job Description: Qualifacts is a leading provider of behavioral health software and SaaS solutions for clinical productivity, compliance and state reporting, billing, and business intelligence. Its mission is to be an innovative and trusted technology and end-to-end solutions partner, enabling exceptional outcomes for its customers and those they serve. Qualifacts' comprehensive portfolio, including the CareLogic®, Credible™, and InSync® platforms, spans and serves the entire behavioral health, rehabilitative, and human services market supporting non-profit Certified Community Behavioral Health Clinics (CCBHC) as well as for-profit large enterprise and small business providers. Qualifacts has a loyal customer base, with more than 2,500 customers representing 75,000 providers serving more than 6 million patients. Qualifacts was recognized in the 2022 and 2023 Best in KLAS: Software and Services report as having the top ranked Behavioral Health EHR solutions. This is an onsite position, 5 days/week, in the Vadodara office. NIGHT SHIFT. Hours are 6:30pm-3:30am IST. Remote applicants will not be considered.

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