Job Description

Job Description: Responsibilities: Serve as an AR/Denial Specialist , billing regulations and compliance requirements. Lead the resolution of escalated billing issues and payer disputes. Lead payer calls for complex billing inquiries, negotiations, and dispute resolutions. Develop and implement strategies to improve revenue cycle efficiency and effectiveness. Conduct regular audits to ensure accuracy and compliance in billing processes. Provide training and ongoing support to junior associates and other team members. Collaborate with leadership to develop and monitor key performance indicators. Stay current on industry trends and best practices in revenue cycle management. Requirements: Bachelors degree in healthcare administration, finance, or related field. Minimum of 5 years of progressive experience in medical billing or revenue cycle management. In-depth knowledge of healthcare billing regulations and compliance standards. Strong leadership and mentoring skills. Excellent communication and presentation abilities. Proficiency in data analysis and reporting tools. Ability to drive change and implement process improvements effectively. Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.