Job Opportunities API

Job Description: Responsibilities: • Investigate and resolve complex AR/Denial issues. • Analyze denial trends to identify areas for process improvement. • Initiate and lead payer calls for escalated denial inquiries and disputes. • Develop and implement strategies to reduce Aging & Denial rates and improve reimbursement. • Collaborate with internal stakeholders to address root causes of denials. • Mentor Level 1 associates on advanced AR/Denial management techniques. • Prepare and submit appeals for denied claims as needed. • Maintain comprehensive documentation of denial activities and outcomes. Requirements: • Associate degree in healthcare administration or related field (preferred). • Minimum of 2 years of experience in denial management or revenue cycle management. • Proficiency in medical billing software and denial tracking systems. • Strong problem-solving and analytical skills. • Ability to effectively communicate with payers to negotiate claim resolutions. • Leadership skills and ability to work independently. Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.