Team Leader/manager – Hospital

2 weeks ago

Chennai, Tamil Nadu, India People First Consultants Full time

ob Overview We are seeking a detail-oriented and experienced Hospital Denials and Follow-up Biller with a minimum of 10 years of industrial experience in hospital billing and claims management The ideal candidate will be responsible for managing denied claims resolving billing issues and optimizing revenue recovery This role requires strong analytical skills excellent communication abilities and proficiency in hospital billing processes and software Key Responsibilities Claim Review Analyze and review denied claims identify denial trends and determine reasons for denials Appeal Preparation Prepare and submit appeals for denied claims ensuring the inclusion of all required documentation Follow-Up Conduct timely follow-up on outstanding claims and appeals ensuring prompt resolution and payment Collaboration Work closely with supervisors the denials team insurance companies and internal departments to resolve denied claims efficiently Documentation Maintain accurate records of denied claims appeals and resolutions in the billing system Regulatory Compliance Stay updated on healthcare regulations insurance policies and payer requirements to ensure compliance and prevent future denials Reporting Generate detailed reports on denial trends and recovery rates providing insights for process improvements Issue Resolution Identify issues leading to underpayments and take corrective actions to ensure accurate billing and revenue recovery Qualifications Education Bachelors degree in Healthcare Administration Business or a related field Experience A minimum of 5 years of industrial experience in hospital billing denials management and claims follow-up Skills Strong analytical and problem-solving abilities Proficient in billing software and Microsoft Office Suite particularly Excel and Word Familiarity with medical terminology CPT ICD-10 coding and payer policies Excellent verbal and written communication skills Strong attention to detail and ability to work independently Experience Proven experience in hospital billing and denial management with an understanding of healthcare regulations and insurance policies Work Environment Fast-paced hospital billing environment with regular interaction with insurance companies billing teams and internal departments Opportunities for professional development and process improvement involvement

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