Healthcare Job: RCMS Rejection Associate at Qualifacts
If you’re looking for a rewarding healthcare job, the RCMS Rejection Associate role at Qualifacts offers an excellent career opportunity. This full-time position in Vadodara provides a chance to work with an innovative health-tech leader known for its top-ranked Behavioral Health EHR solutions. Explore this exciting opening within Qualifacts careers and discover why this is one of the most promising jobs in Vadodara for healthcare and billing professionals.
Healthcare Job Details:
- Job Position: RCMS Rejection Associate
- Location: Vadodara
- Job Requisition ID: R-101888
About the Company
Qualifacts is a leading provider of behavioral health software and SaaS solutions for clinical productivity, compliance, and state reporting, billing, and business intelligence. As a major name in Qualifacts careers, the company aims to be an innovative and trusted technology and end-to-end solutions partner, enabling exceptional outcomes for its customers and those they serve. With platforms like CareLogic®, Credible™, and InSync®, Qualifacts supports the entire behavioral health, rehabilitative, and human services market, serving more than 6 million patients through 75,000 providers. It was also recognized in the 2022 and 2023 Best in KLAS: Software and Services report for its top-tier Behavioral Health EHR solutions.
Qualifications / Skills
- 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 using advanced features of billing software or analytical tools.
- Ability to manage multiple projects simultaneously.
- Strong decision-making and problem-solving abilities.
Healthcare Job Description:
This healthcare job involves handling more complex rejection cases that require in-depth analysis or investigation. The position requires collaboration with billing specialists or healthcare providers to address systemic issues contributing to claim rejection. You will help develop and implement strategies to reduce claim rejection rates and enhance overall revenue cycle efficiency. As part of this role, you will also provide guidance to Level 1 associates and participate in cross-functional teams to support process improvements and best practices.
Key Responsibilities
- Handle complex rejection cases requiring detailed analysis or investigation.
- Collaborate with billing specialists or healthcare providers to resolve systemic rejection issues.
- Develop and implement strategies to reduce claim rejection rates.
- Provide training or guidance to Level 1 associates on complex cases.
- Participate in cross-functional meetings to improve processes and share best practices.
