3 Claim Appeals Jobs

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2.0 - 6.0 years

1 - 4 Lacs

chennai

Work from Office

We are looking for a dedicated and experienced AR Analyst/Denial Management Executive with at least 1 year of hands-on experience in Accounts Receivable follow-up and Denial Management within the Physician Billing process. Location: Chennai (Preferred) Shift Timing: 9 - 6 PM Experience Required: Minimum 1 Year (Mandatory) Work Mode: Work from Office Salary: Based on Interview process Key Responsibilities: Perform AR follow-up on unpaid medical claims with insurance companies (US Healthcare). Analyze and take action on denied claims . Handle and resolve at least 5 common denial codes with a clear understanding of the denial reasons and appropriate actions . Work on claim forms (HCFA-1500) and...

Posted 2 weeks ago

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0.0 - 3.0 years

0 - 0 Lacs

ahmedabad, gujarat

On-site

As an Experienced Medical Biller at our healthcare facility, you will play a crucial role in ensuring accurate processing and timely reimbursement of medical claims. Your attention to detail and strong understanding of medical billing processes, insurance claims, and healthcare coding standards will be key in maintaining the financial health of our organization. Your responsibilities will include reviewing and processing medical claims with precision, submitting claims electronically to insurance companies, and resolving any claim denials, rejections, or appeals promptly. You will also be tasked with verifying patient insurance coverage, obtaining necessary authorizations, and communicating ...

Posted 2 months ago

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2.0 - 3.0 years

4 - 5 Lacs

Kochi, Ernakulam, Thrissur

Work from Office

Designation: SME - Denial Management Experience: 2-3 years Skills desired: Detailed knowledge of US healthcare billing cycle Experience working with different EMR/EHR systems like Epic, Cerner, Allscripts, Athenahealth, NextGen, eClinicalWorks, Meditech, etc. Denial analysis and management - Review and analyze denied insurance claims to identify cause of denials such as coding issues, preauthorization, payer-specific policies - Develop and track denial log to monitor patterns and trends in denied claims - Experience talking with payers to obtain clarification with denials and initiate timely appeals when appropriate Expertise in working with denial reason codes (CARC, RARC) and identifying r...

Posted 3 months ago

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