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Full Time Denial Management Professional

3 weeks ago

Pune, Maharashtra, India beBeeDenialManagement Full time ₹ 1,04,000 - ₹ 1,30,878

Job Title: Denial Management Specialist

We are seeking a highly skilled Denial Management Specialist to join our team. This is an exciting opportunity to work in the healthcare industry, focusing on minimizing claim rejections and optimizing revenue cycle management.

  • 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.

Requirements:

  • 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.

Benefits:

This role offers a challenging and rewarding work environment with opportunities for growth and development.

Others:

Please note that this job description may be subject to change based on business needs.