Hospital Billing Denials Specialist

2 weeks ago


Chennai, Tamil Nadu, India People First Consultants Full time

Job Title: Hospital Billing Denials Specialist

Job Summary: We are seeking a detail-oriented and experienced Hospital Denials and Follow-up Biller to manage denied claims, resolve billing issues, and optimize revenue recovery.

Key Responsibilities:

  • Analyze and review denied claims to identify denial trends and determine reasons for denials.
  • Prepare and submit appeals for denied claims, ensuring the inclusion of all required documentation.
  • Conduct timely follow-up on outstanding claims and appeals to ensure prompt resolution and payment.
  • Collaborate with supervisors, the denials team, insurance companies, and internal departments to resolve denied claims efficiently.
  • Maintain accurate records of denied claims, appeals, and resolutions in the billing system.
  • Stay updated on healthcare regulations, insurance policies, and payer requirements to ensure compliance and prevent future denials.
  • Generate detailed reports on denial trends and recovery rates to provide insights for process improvements.

Qualifications:

  • Bachelor's degree in Healthcare Administration, Business, or a related field.
  • A minimum of 5 years of industrial experience in hospital billing, denials management, and claims follow-up.
  • Strong analytical and problem-solving abilities, proficiency in billing software and Microsoft Office Suite, and excellent verbal and written communication skills.

About People First Consultants: We are a consulting firm dedicated to providing expert solutions for healthcare organizations. Our team is passionate about delivering high-quality services that meet the evolving needs of our clients.



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