Denials Management

2 days ago


Gurgaon, Haryana, India staffhire Full time ₹ 40,00,000 - ₹ 1,20,00,000 per year

Job Overview:

We seek an experienced and highly motivated Denials Specialist to join our team. The Denials

Specialist will be responsible for handling denied claims, making outbound calls to insurance

payers, and resubmitting corrected claims. The ideal candidate should possess excellent

communication and problem-solving skills, have a strong understanding of medical billing and

coding, and be well-versed in denial management and appeals processes.

Role & responsibilities

Denial Identi cation and Analysis: Identify, categorize, and analyze denials and

underpayments from Explanation of Bene ts (EOBs) and Electronic Remittance Advice

(ERAs).

Claim Resubmission and Appeals: Correct and resubmit denied claims, or prepare and

submit appeals following payer guidelines and timelines.

Payer Communication: Communicate with insurance companies to resolve issues leading

to denials and ensure accurate reimbursement.

Preventative Action: Review denial trends and work with other RCM teams to implement

processes that can prevent future denials.

Experience in analyzing and resubmitting Denials in multiple specialities (Denials due to

Medical Coding, Authorisation, etc).

Preferred candidate pro le

1-6 years of prior experience in denials management, healthcare billing, or a related role.

Strong understanding of medical billing processes payer requirements and CARC/RARC

codes.

Excellent problem-solving and negotiation skills.

Detail-oriented with strong analytical skills.

Excellent communication skills, both written and verbal.

Pro ciency in using healthcare billing software and Microsoft O ce Suite.


  • Team Lead- Denials

    3 days ago


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

    About the RoleWere 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...


  • 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...


  • Gurgaon, Haryana, India Commure + 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...

  • Senior Ar Caller

    4 days ago


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

    About the Role:We are seeking an experienced and detail-oriented AR Denials Management Specialist to join our Revenue Cycle Management team. The ideal candidate will have a strong background in denials resolution, accounts receivable follow-up, and payer communication with hands-on experience in both professional (physician) and hospital billing. You will...


  • Gurgaon, Haryana, India R1 RCM Full time ₹ 8,00,000 - ₹ 12,00,000 per year

    Job Description:Roles & Responsibilities:Follow up with the payer to check on claim status. Identify denial reason and work on resolution. Save claim from getting written off by timely following up. Should have sound knowledge of working on Billing scrubbers and making edits. Work on Contractual adjustments & write off projects. Should have good Cash...

  • Training Manager

    4 days ago


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

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers,...


  • Gurgaon, Haryana, India Nirvana Creative Telesoftware Solutions Full time ₹ 5,00,000 - ₹ 15,00,000 per year

    Preferred CandidateExperience35+ years of experience in Accounts Receivable / Revenue Cycle Management, preferably in healthcare / insurance / hospital settings or other regulated industries. Experience handling large volumes of claims / invoices.Technical Skills• Good knowledge of AR software / tools (e.g. ERP systems, RCM platforms). • Strong MS Excel...


  • Gurgaon, Haryana, India Talent Advisors Full time ₹ 9,00,000 - ₹ 12,00,000 per year

    Job Description: We are looking for a detail-oriented and proactive AR Follow-Up Executive to join our Revenue Cycle Management (RCM) team. The ideal candidate will be responsible for following up on outstanding claims with insurance companies to ensure timely reimbursement for healthcare servicesTo apply, Call/WhatsApp HR Palak Key Responsibilities:Review...


  • Gurgaon, Haryana, India Startek (Aegis Customer Support Services Pvt. Ltd.) Full time ₹ 2,00,000 - ₹ 6,00,000 per year

    Role Requirement: Address HR-related grievances raised by on-roll and off-roll employees, such as: Misbehavior complaints Store entry denials Transfer requests Other HR-related concerns Candidates should demonstrate a compassionate and solution-oriented approachLanguage Proficiency: Must be fluent in English and HindiEducational Qualification: Graduate or...


  • Gurgaon, Haryana, India FinThrive Full time ₹ 5,00,000 - ₹ 15,00,000 per year

    The impact you will makeInterpret and use complex data to develop actionable steps that will improve processes and optimize results. Day-to-day, it's an analyst's job to assess company and client needs, review robust information, and analyze it, looking for trends or areas for improvement.What you will doShould be able to take ownership, handle open AR, and...