Job Description:
Job Description: RCM Rejection Associate (Intermediate Level)
Experience Required: Minimum 1–2 years of work experience in the same domain (RCM Rejection/AR/Denial Management).
Work Schedule: Must be available to work in the EST time zone.
Key Responsibilities:
- Min 1-2 years of work experience in the same domain
- Handle more complex rejection cases that require in-depth analysis or investigation.
- Collaborate with billing specialists or healthcare providers to address systemic issues contributing to claim rejection.
- Develop and implement strategies to reduce claim rejection rates and improve overall revenue cycle efficiency.
- Provide training or guidance to Level 1 associates on resolving complex rejection issues.
- Participate in cross-functional teams or meetings to discuss process improvements and best practices.
Skills/Qualifications
- Associate's degree or equivalent experience in healthcare administration, medical billing, or a related field.
- Demonstrated experience in identifying root causes of claim rejection and implementing corrective actions.
- Proficiency in using advanced features of billing software or analytical tools for data interpretation.
- Ability to prioritize tasks and manage multiple projects simultaneously.
- Strong problem-solving and decision-making skills.
Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.