AR Specialist II
qualifacts · Vadodara
Job description
About the role
The AR Specialist II will lead the investigation and resolution of complex accounts receivable and denial issues within our healthcare revenue cycle. You will work closely with payers and internal teams to improve reimbursement and reduce aging and denial rates.
Key responsibilities
- Investigate and resolve complex AR/Denial issues.
- Analyze denial trends and recommend process improvements.
- Lead payer calls for escalated denial inquiries and disputes.
- Develop and implement strategies to reduce aging and denial rates.
- 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.
Required profile
- Associate degree in healthcare administration or a related field (preferred).
- Minimum of 2 years of experience in denial management or revenue cycle management.
- Strong problem‑solving and analytical abilities.
- Excellent communication skills for negotiating with payers.
- Leadership capability and ability to work independently.
Required skills
- Medical billing software
- Denial tracking systems
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Published 1 month ago
Expires 5 days from now
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qualifacts
Vadodara