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.
Requirements
Associate degree in healthcare administration or a related field (preferred).
Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.