Denials Specialist

StaffHire Solutions

1 - 7 Years
5 Openings
3.0 - 7.0 Lac/Yr
Gurgaon
Face-to-Face interview

Key Skills

Healthcare Consultant Billing Analyst Medical Billing Walk in

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Job Description

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 Identification and Analysis: Identify, categorize, and analyze denials and

underpayments from Explanation of Benefits (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 profile

● 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.

● Proficiency in using healthcare billing software and Microsoft Office Suite

Experience
1 - 7 Years
No. of Openings
5
Education
Any Bachelor Degree
Role
Denials Specialist
Industry Type
Hospitals / Medical / Healthcare Equipments
Gender
[ Male / Female ]
Job Country
India
Type of Job
Full Time
Work Location Type
Work from Office

About StaffHire Solutions

StaffHire Solutions, the primary employment agency we represent, is situated in Hyderabad, Telangana, and provides each individual with the best opportunities. We create real talent and use it in the fields and organisations where it will thrive.

We are a cautious placement consultant who strives to satisfy each person's requirements for locating employment. We support you in your efforts to get your dream job.

We take pleasure in being a business that is dedicated to helping people advance in their careers and helping businesses succeed via the recruitment of excellent talent. We are dedicated to providing a good client experience and have high expectations for the success of every candidate.

We set ourselves apart from other consultants in India by giving applicants the best and assisting them in locating amazing workplaces.

We will handle the work of locating the greatest professional prospects, and the candidate may count on that. We will give them all the materials needed for the application interview requirements.

Our Team:

Top-notch technology, professionalism, an integrated system, and a strong infrastructure are required to work with companies and candidates. As a result, we are dedicated to continually improving and funding the aforementioned resources.

Our team of professionals is dedicated to helping our respected clients and candidates and supporting them in achieving their mutual short- and long-term demands and goals. As a team, we prioritise the demands of the client rather than putting them last and give more thought to how the customer's objective may be achieved with the assistance of others and digital push.