01Key Responsibilities
Review and analyse denied claims to identify root causes and common trends.Collaborate with internal teams to implement effective denial resolution strategies.Rework, appeal, and resubmit claims in accordance with payer-specific guidelines.Perform root cause analysis to prevent future denials and educate teams on best practices.Maintain up-to-date knowledge of CPT, HCPCS, ICD-10 codes, payer policies, and medical terminology.Track and report denial rates, trends, and resolution outcomes to drive continuous improvement.Ensure compliance with HIPAA and payer-specific regulations.Desired Candidate Profile:
Minimum 1 year of experience in US AR & Denial Analysis.Strong knowledge of healthcare coding systems and payer policies.Willingness to work in the night shift (US shift).Excellent analytical and problem-solving skills.High attention to detail with the ability to work in a fast-paced environment.Strong communication and collaboration skills.Compensation: 30,000.00 - 35,000.00 per month
Benefits:
Food providedHealth insuranceProvident FundWork Location: In person .