RCMS AR Specialist II
Vadodaraonsitemid
Posted 1w ago · via Workday
About this role
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.…
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
We compare your skills against the role requirements.
2
Level fit
This role is mid-level. We check your trajectory against it.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is based in Vadodara. We weight your proximity and willingness to relocate.
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Free · no card · written explanation included