Team Lead- Denials

2 weeks ago

Gurgaon, Haryana, India Commure Full time ₹ 15,00,000 - ₹ 25,00,000 per year

About the Role

Were seeking a Denials Team Lead with hands-on experience across both inpatient and outpatient denials to drive overturns, reduce aged inventory, and prevent recurrence at the root cause. Youll lead a pod of denial analysts, set daily priorities, coach for quality and speed, and collaborate with Coding, Charge Entry, Registration, and Payer Relations to improve first-pass yield and cash acceleration.

Key Responsibilities

Team Leadership & Delivery

  • Lead a team of denial analysts across IP/OP workqueues; plan capacity, assign work, and monitor performance.
  • Run daily huddles; set targets for productivity, quality, and TAT; remove blockers and manage escalations.
  • Conduct 1:1s, coaching, cross-training, and performance reviews.

Denials Resolution

  • Review EOB/ERA, CARC/RARC codes, payer policies, and medical necessity criteria to build strong appeals.
  • Oversee timely filing, resubmissions, corrected claims, and second-level medical appeals.
  • Drive overturns on common IP denials (e.g., level of care, lack of medical necessity, DRG changes) and OP denials (e.g., bundling, NCCI edits, MUEs, modifiers, prior auth).

Quality, Analytics & Prevention

  • Own team KPIs: denial-to-resolution TAT, aged bucket reduction (90/120), first-pass acceptance, and QA.
  • Perform root-cause analysis by payer/denial reason/service line; partner with Coding to fix upstream leakage.
  • Maintain SOPs and payer playbooks; run calibration with QA.

Compliance & Documentation

  • Ensure HIPAA compliance, accurate account notes, and audit-ready documentation.
  • Track and meet payer-specific TATs and timely filing limits.

  • Team Lead Ar/denial Management-gurgaon Location

    4 weeks ago

    Gurgaon, Haryana, India Neolytix Full time

    Team Leader- RCM - AR Denial ManagementNeolytix provides management solutions aimed at igniting long-term success for healthcare providers nationwide We provide a platform to incubate a conducive collaboration based on creating revenue and cost transformation within healthcare organizations Work with a company where your work can make a real impact We are a...

  • Senior Analyst, Denial Management

    1 day ago

    Gurgaon, Haryana, India Athelas Full time ₹ 20,00,000 - ₹ 25,00,000 per year

    At Commure, our mission is to simplify healthcare. We have bold ambitions to reimagine the healthcare experience, setting a new standard for how care is delivered and experienced across the industry. Our growing suite of AI solutions spans ambient AI clinical documentation, provider copilots, autonomous coding, revenue cycle management and more — all...

  • AR-Team Lead – RCM

    2 weeks ago

    Gurgaon, Haryana, India Neolytix Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    Position: AR-Team Lead – RCM (US Healthcare)Location:Onsite – Sector 18, GurugramWork Hours:Night Shift (US Hours)Company:NeolytixRole OverviewWe are hiring aTeam Lead – Accounts Receivable (AR)to manage and lead a high-performance team responsible for end-to-end AR functions, including insurance follow-ups, denial resolution, and collections. The...

  • Lead Associate

    3 days ago

    Gurgaon, Haryana, India R1 RCM Full time ₹ 1,04,000 - ₹ 1,30,878 per year

    Role ObjectiveIdentifying revenue gain opportunity or denial prevention opportunities by reviewing the open AR claims/denied claimsEssential Duties and ResponsibilitiesDenied Claim Reviews/Account level reviewsIdentifying themes/trends through data reviewsCoordinating with requirement stakeholders on the issues/themes/trends identifiesPublishing assigned...

  • Performance Marketing Lead

    2 weeks ago

    Gurgaon, Haryana, India Team Pumpkin Full time ₹ 15,00,000 - ₹ 25,00,000 per year

    SummaryWe are seeking a highly experienced and results-driven professional to join our Paid Media department as a Lead. The ideal candidate will have at least 5 years of hands-on experience managing Paid Media campaigns across diverse platforms and industries. In this role, you will drive the company's digital marketing strategy, lead a talented team, and...

  • Team Leader AR Executive _ US Healthcare

    1 week ago

    Gurgaon, Haryana, India MD Boss Full time US$ 6,000 - US$ 10,000 per year

    Must have experience in credentialing and should be an AR analyst to fix the Denial Gurgaon Location, Both Side Cab, Only Work From Office, "NO Work from Home" Net Salary Upto Rs.55,000 What's app CV @ Perks and benefitsIncentive

  • Team Lead

    1 week ago

    Gurgaon, Haryana, India Mobikwik Full time ₹ 20,00,000 - ₹ 25,00,000 per year

    VKYC Team Lead MobiKwik -Experienced Leader in Digital VKYC & Inbound Operations | Driving Compliance, Efficiency & Performance in Fintech A MobiKwik VKYC Team Lead is responsible for managing and leading a team focused on digital VKYC (Video Know Your Customer) processes within the fintech company, MobiKwik. This role involves ensuring compliance with...

  • Team Lead

    2 weeks ago

    Gurgaon, Haryana, India Zero Brokerage Full time ₹ 15,00,000 - ₹ 25,00,000 per year

    Team Lead – Real Estate SalesLocation: Gurgaon (On-site)Work Schedule: 6 Days a WeekEmployment Type: Full-TimeIndustry: Real Estate / PropertyCompany OverviewZero Brokerage is a luxury real estate brokerage firm committed to offering transparent and customer-centric services. We specialize in premium residential and commercial real estate projects across...

  • Team Lead

    3 days ago

    Gurgaon, Haryana, India Converge Staffing Solutions Full time ₹ 12,00,000 - ₹ 36,00,000 per year

    Location- GurugramJob Summary: We are seeking an experienced and dynamic Team Lead Software Developer to lead a team of developers working on AI-driven solutions. This role involves guiding and mentoring the team, while ensuring high-quality development and timely delivery of features.We want Full Stack 6 yrs with Gen AI expResponsibilities:Lead and manage a...

  • Lead Generation Executive

    7 days ago

    Gurgaon, Haryana, India My Side Team Full time ₹ 1,20,000 - ₹ 4,58,679 per year

    Lead Generation Executive (On-Site – Gurgaon, Sector 44)My Side Team ) is hiring a dynamic and results-driven Lead Generation Executive to join our on-site team in Gurgaon, Sector 44. In this role, you will be responsible for identifying and qualifying potential clients, building a strong sales pipeline, and supporting our business growth initiatives. If...