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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. For more than 20 years, Qualifacts has delivered thoughtful innovation, technology, support, and services to the behavioral health and human services market. Most recently, Qualifacts has been on a mission to expand its portfolio to support the patient continuum, from the initial appointment request to final billing and reporting, and everything in between. Qualifacts has headquarters in Nashville and Tampa with employees across the globe, many with strong healthcare and clinical backgrounds to help bring you the best solutions possible. Details Details Details 
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Qualifacts
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