Hiring For Denial Management Specialist

2 weeks ago


Pune, Maharashtra, India Glorious Hr Services Private Limited Full time
Job Description

Roles and Responsibilities

- Manage denial management processes to minimize claim rejections and optimize revenue cycle management (RCM).
- Conduct thorough reviews of patient accounts, identifying potential issues and implementing corrective actions to prevent future occurrences.
- Collaborate with internal teams, including billing, coding, and customer service to resolve complex claims disputes.
- Analyze data trends and develop strategies to improve denial rates and reduce write-offs.
- Ensure compliance with regulatory requirements and industry standards for RCM best practices.

Desired Candidate Profile

- 1-2 years of experience in US healthcare or related field, preferably in AR calling, EHR systems, or RCM roles.
- Strong understanding of medical billing principles, ICD-10 codes, CPT codes, HCPCS level II codes, anatomy & physiology.
- Excellent communication skills for effective collaboration with customers/patients over phone calls.

Role:Medical Biller / Coder

Industry Type:Analytics / KPO / Research

Department:Healthcare & Life Sciences

Employment Type:Full Time, Permanent

Role Category:Health Informatics

Education

UG:Any Graduate
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