RCMS Associate II

Job Description:

Job Description : RCM Rejection Associate (Intermediate Level)

• Min 1-2 years of work experience in the same domain

• Ready to work in EST time Zone       

Experience Required: Minimum 1–2 years of work experience in the same domain (RCM Rejection Management).

Work Schedule: Must be available to work in the EST time zone.

Key Responsibilities:

• 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.