Denials Management
4 weeks ago
JobOverview:
Weseek an experienced and highly motivated Denials Specialist to joinour team. TheDenials
Specialist willbe responsible for handling denied claims making outbound calls toinsurance
payers andresubmitting corrected claims. The ideal candidate should possessexcellent
communicationand problemsolving skills have a strong understanding of medicalbilling and
coding andbe wellversed in denial management and appealsprocesses.
Role&responsibilities
DenialIdenti cation and Analysis: Identify categorize and analyze denialsand
underpayments fromExplanation of Bene ts (EOBs) and Electronic RemittanceAdvice
(ERAs).
ClaimResubmission and Appeals: Correct and resubmit denied claims orprepare and
submitappeals following payer guidelines andtimelines.
PayerCommunication: Communicate with insurance companies to resolveissues leading
todenials and ensure accuratereimbursement.
PreventativeAction: Review denial trends and work with other RCM teams toimplement
processes thatcan prevent futuredenials.
Experience inanalyzing and resubmitting Denials in multiple specialities(Denials due to
MedicalCoding Authorisationetc).
Preferredcandidate prole
16 years ofprior experience in denials management healthcare billing or arelated role.
Strongunderstanding of medical billing processes payer requirements andCARC/RARC
codes.
Excellentproblemsolving and negotiationskills.
Detailorientedwith strong analyticalskills.
Excellentcommunication skills both written andverbal.
Pro ciency inusing healthcare billing software and Microsoft O ceSuite.
healthcarebilling,appeals processes,carc/rarc codes,microsoft officesuite,review denial trends,calls to insurance payers,medicalbilling processes payer requirements
-
Assistant Operations Manager
1 month ago
gurugram, India R1 RCM Full timeResponsibilities: · Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures. · Manages people and drives retention· Analysis data to identify process gaps, prepare reports· Performance management· First level of escalation· Work in...
-
Senior Associate
5 days ago
gurugram, India WNS Full timeGreetings from WNS!!We are Hiring for “ AR Follow Ups (US Healthcare) Role”.Job Details –AR Analyst (US healthcare) for US Hospital and DME process.Should have minimum 1 yrs to 2 years experience in AR Analysis and healthcare collectionsGood Communication skills, Good MS office and Typing skillsExcellent knowledge in Denial Management, Correspondence,...
-
Gurugram, India Neolytix Full timeQuality Analyst – JD About Neolytix Neolytix is a boutique Consulting and Management Services Organization that works with small & medium-sized healthcare providers across the United States. Our portfolio of services caters to micro verticals and is built on the expertise we have developed in enabling these practices. Work with a company where...
-
Associate Operations Manager
1 month ago
gurugram, India R1 RCM Full timeResponsibilities: Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures.Manages people and drives retention.Analysis data to identify process gaps, prepare reports.Performance managementFirst level of escalationWork in all shifts on a rotational basisNeed to be cost efficient with...
-
Associate Operations Manager
1 month ago
Gurugram, India R1 RCM Full timeResponsibilities:Establishes and assures compliance with departmental policies and procedures in conformance with corporate policies and procedures.Manages people and drives retention.Analysis data to identify process gaps, prepare reports.Performance managementFirst level of escalationWork in all shifts on a rotational basisNeed to be cost efficient with...
-
gurugram, India Neolytix Full timeNeolytix is a multi-line Management Service Organization (MSO) providing support to the smaller healthcare providers and practices so they can remain competitive in our Healthcare system. Together with Practice Tech Solutions (digital division), we provide end-to-end nonclinical services to healthcare providers Medical Billing Specialist is responsible for...
-
Associate Operations Manager
2 days ago
Gurugram, India R1 RCM Full timeResponsibilities:Required to handle a team / group of 15 to 20 FTEsThorough understanding of RCM processes like Billing, Cash Posting, Credit Balance, Accounts Receivables, Denial Management & Correspondence reviewVery good understanding of RCM metrics like Days in AR, Unposted Cash, UI metricPeriodically review team’s performance and recommend performance...
-
Senior Associate
6 days ago
Gurugram, India WNS Full timeGreetings from WNS!!We are Hiring for “ AR Follow Ups (US Healthcare) Role”.Job Details –AR Analyst (US healthcare) for US Hospital and DME process.Should have minimum 1 yrs to 2 years experience in AR Analysis and healthcare collectionsGood Communication skills, Good MS office and Typing skillsExcellent knowledge in Denial Management, Correspondence,...
-
Senior Associate
6 days ago
Gurugram, India WNS Full timeGreetings from WNS!! We are Hiring for “ AR Follow Ups (US Healthcare) Role”. Job Details – AR Analyst (US healthcare) for US Hospital and DME process. Should have minimum 1 yrs to 2 years experience in AR Analysis and healthcare collections Good Communication skills, Good MS office and Typing skills Excellent knowledge in Denial Management,...
-
Senior Associate
6 days ago
Gurugram, India WNS Full timeGreetings from WNS!!We are Hiring for “ AR Follow Ups (US Healthcare) Role”.Job Details –AR Analyst (US healthcare) for US Hospital and DME process.Should have minimum 1 yrs to 2 years experience in AR Analysis and healthcare collectionsGood Communication skills, Good MS office and Typing skillsExcellent knowledge in Denial Management, Correspondence,...
-
Ar (Medical Billing)
1 month ago
Gurugram, Haryana, India Brandz Venture Pvt Ltd Full time_**AR**:_ - Timings: 06:00 pm to 03:00 am - Education: Any Graduate - 1 to 4 years experience in Insurance AR Follow up, Denial Handling in a Medical Billing environment would be a plus. - Freshers with good communication skills, knowledge of basic computer operations and wanting to make a career in a growing industry will be given 6 months on the job...
-
Specialist - Training
1 month ago
Gurugram, India R1 RCM Full timeR1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For TM 2023 by Great Place To Work® Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to ‘make healthcare simpler’ and enable efficiency for healthcare systems, hospitals, and physician...
-
Specialist - Training
1 month ago
Gurugram, India R1 RCM Full timeR1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For TM 2023 by Great Place To Work® Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to ‘make healthcare simpler’ and enable efficiency for healthcare systems, hospitals, and physician...
-
Specialist - Training
1 month ago
Gurugram, India R1 RCM Full timeR1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For TM 2023 by Great Place To Work® Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to ‘make healthcare simpler’ and enable efficiency for healthcare systems, hospitals, and physician...
-
Security Architect
3 weeks ago
Gurugram, India Egon Zehnder Full timeEgon ZehnderEgon Zehnder (www.egonzehnder.com) is trusted partner to many of the world’s most respected organizations and is a leading leadership advisory firm, with more than 560+ consultants and 63 offices in 36 countries spanning Europe, the Americas, Asia Pacific, the Middle East and Africa. Our clients range from the largest corporations to...
-
Security Architect
3 weeks ago
Gurugram, India Egon Zehnder Full timeEgon ZehnderEgon Zehnder (www.egonzehnder.com) is trusted partner to many of the world’s most respected organizations and is a leading leadership advisory firm, with more than 560+ consultants and 63 offices in 36 countries spanning Europe, the Americas, Asia Pacific, the Middle East and Africa. Our clients range from the largest corporations to...
-
Security Architect
1 month ago
gurugram, India Egon Zehnder Full timeEgon Zehnder Egon Zehnder ( is trusted partner to many of the world’s most respected organizations and is a leading leadership advisory firm, with more than 560+ consultants and 63 offices in 36 countries spanning Europe, the Americas, Asia Pacific, the Middle East and Africa. Our clients range from the largest corporations to emerging growth...
-
Security Architect
1 month ago
Gurugram, India Egon Zehnder Full timeEgon ZehnderEgon Zehnder ( is trusted partner to many of the world’s most respected organizations and is a leading leadership advisory firm, with more than 560+ consultants and 63 offices in 36 countries spanning Europe, the Americas, Asia Pacific, the Middle East and Africa. Our clients range from the largest corporations to emerging growth...