This Denial Management Specialist Role

3 days ago

Ajmer, Rajasthan, India beBeeDenial Full time ₹ 4,00,000 - ₹ 8,00,000
Denial Management Specialist

As a denial management specialist, you will play a critical role in ensuring accurate reimbursement from insurance companies and patients. You will be responsible for initiating calls to insurance companies to inquire about the status of denied claims, maintaining thorough records of all interactions and follow-up actions, communicating with patients and internal stakeholders about denial statuses and resolution efforts, and re-submitting claims with corrected information or appealing denials when necessary.

Key Responsibilities:
  • Initiate calls to insurance companies to gather information about denied claims.
  • Maintain accurate and up-to-date records of all interactions and follow-up actions.
  • Communicate effectively with patients and internal stakeholders regarding denial statuses and resolution efforts.
  • Re-submittals and appeals are handled promptly and professionally.

This process involves navigating complex billing and coding rules. Your excellent communication skills and ability to navigate challenging situations will make you an asset to our team.

The Impact of Denial Management:
  • Effective denial management helps healthcare providers recover more revenue from claims.
  • Improved cash flow is achieved through timely re-submittals and appeals.
  • Patient relationships are strengthened through clear communication about denial reasons and processes.

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