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Arya Medical Billing Services Pvt. Ltd
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Appeals Analyst Revenue Cycle Management (RCM)

Appeals Analyst Revenue Cycle Management (RCM)

Arya Medical Billing Services Pvt. Ltd

1 - 3 years

|

1 - 3 Lacs

Posted:1 week ago| Platform:

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Skills Required

appeals rcm billing medical billing healthcare

Work Mode

Work from Office

Job Type

Full Time

Job Description

Job Summary

Appeals Analyst

Key Responsibilities

Denial Review:
Analyze Explanation of Benefits (EOBs), remittance advices, and payer denial codes to identify the root cause of denials.
Appeal Preparation:
Draft and submit appeal letters with appropriate documentation, medical records, and payer-specific forms within timely filing limits.
Follow-Up:
Monitor and track appeal status through payer portals, calls, or emails until resolution is received.
Compliance:
Ensure all appeals are handled in accordance with payer policies, HIPAA regulations, and internal quality standards.
Documentation:
Maintain accurate notes and status updates in the billing/RCM system
Reporting:
Generate and share regular reports on appeal outcomes, recovery rates, and denial trends with management.
Continuous Improvement:
Assist in process improvement initiatives to enhance denial management efficiency and reduce future denials.

Required Skills and Qualifications

Bachelors degree (preferred) or equivalent work experience in healthcare, finance, or business administration.
1–3 years of experience in
RCM
,
medical billing
,
denials management
, or
appeals
.
Strong knowledge of payer guidelines, claim adjudication processes, and medical billing terminologies (CPT, ICD-10, HCPCS).
Excellent analytical, written, and verbal communication skills.
Proficiency in RCM software, payer portals, and Microsoft Office (Excel, Word, Outlook).
Ability to manage multiple cases and meet deadlines in a fast-paced environment.

Preferred Qualifications

Experience with high-volume hospital or physician billing appeals.
Knowledge of CMS, Medicare, and commercial payer policies.

More Jobs at Arya Medical Billing Services Pvt. Ltd

Appeals Analyst Revenue Cycle Management (RCM)

hyderabad

INR 1 - 3 Lacs

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Arya Medical Billing Services Pvt. Ltd

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