11 Claim Denials Jobs

As an Experienced Medical Biller at our healthcare team, your role will involve a strong understanding of medical billing processes, Insurance claims, and Healthcare coding standards (ICD-10, CPT, HCPCS). Your responsibilities will include accurately processing and following up on medical claims to ensure timely reimbursement from insurance companies and patients. - Review and process medical claims using appropriate coding and billing practices. - Submit claims electronically to insurance companies. - Resolve claim denials, rejections, and appeals in a timely manner. - Verify patient insurance coverage and benefits, and obtain necessary authorizations. - Communicate with patients and insura...

Coding Denial Supervisor to provide direction to a team of Coding Denial Specialists, who are responsible for working on assigned claim edits and rejection work queues. The Coding Denial Supervisor will ensure timely investigation and resolution of health plan denials. Additionally, the Coding Denial Supervisor will assist in determining appropriate actions and providing resolutions for health plan denials. Essential Functions And Tasks Ensuring the timely investigation and resolution of health plan denials Assist in Implementing and maintaining policies and procedures for denial management Providing training and support to the team members to enhance their skills and knowledge Escalate codi...

Description The Denial Coder will be responsible for analyzing and correcting denied claims to ensure proper reimbursement for healthcare services. This role requires strong coding skills and a keen eye for detail to effectively navigate the complexities of medical billing. Responsibilities Review and analyze denied claims to identify reasons for denial. Correct and resubmit claims with appropriate coding adjustments. Maintain accurate records of claim denials and resolutions. Collaborate with healthcare providers to obtain necessary documentation for appeals. Stay updated with coding guidelines and insurance policies to ensure compliance. Prepare reports on claim denial trends and present f...

As an Associate Manager - IP billing & Insurance (RCM) at our company, your role will involve the following responsibilities: - Verify Patient Insurance Coverage: You will be responsible for confirming inpatient benefits, eligibility, and coverage details with insurance providers prior to or during patient admission. - Obtain Pre-authorizations & Pre-certifications. - Generate and Submit Claims: Your duties will include preparing and submitting accurate claims using UB-04 forms, ensuring proper coding (ICD-10, CPT, HCPCS), and charge entry for inpatient services. - Manage Claim Denials and Appeals. - Coordinate with Clinical and Administrative Teams: You will collaborate with physicians, nur...

As an Authorization Specialist in Revenue Cycle Management, you play a critical role in ensuring timely and accurate processing of patient services by obtaining prior authorizations, referrals, and approvals from insurance companies. Your strong knowledge of insurance policies, excellent communication skills, and efficient navigation of insurance portals are essential for supporting revenue integrity and minimizing claim denials. Key Responsibilities: - Verify patient insurance coverage and benefits for authorization requirements. - Collaborate with clinical staff, providers, and insurance companies to ensure timely submission of necessary documentation. - Maintain accurate records of all au...

Role & responsibilities We are hiring Multispecialty Denial Coders to handle coding-related claim denials across multiple specialties. The role involves reviewing denied claims, identifying root causes, ensuring accurate coding corrections, and re-submitting clean claims. Candidates must be certified and experienced in denial management within US healthcare revenue cycle. Key Responsibilities: Analyze and resolve denied claims across multispecialties (E/M, Surgery, Radiology, etc.) Apply correct ICD-10, CPT, and HCPCS codes per payer guidelines Collaborate with billing, QA, and clinical documentation teams to resolve denials Ensure compliance with coding standards and minimize recurring deni...

As a Coding Denial Supervisor, your role will involve providing guidance and direction to a team of Coding Denial Specialists. Your primary responsibility will be overseeing the resolution of health plan denials and ensuring timely investigation into assigned claim edits and rejection work queues. You will also play a key role in determining appropriate actions and providing resolutions for health plan denials. Key Responsibilities: - Ensure timely investigation and resolution of health plan denials - Implement and maintain policies and procedures for denial management - Provide training and support to team members to enhance their skills and knowledge - Escalate coding and processing issues...

Were Hiring! AR / Senior AR Callers | Prochant India Locations: Chennai & Thiruvananthapuram (Open for candidates willing to relocate) Shift Timing: 6:30 PM 3:30 AM (US Healthcare Process) Working Days: Monday to Friday (Fixed Weekend Off) Your Role What You’ll Do: Call insurance companies on behalf of physicians for claim status Follow up on pending & denied claims with payors Retrieve payment details and analyze rejections Deliver results with quality & accuracy Eligibility: Experience: 1 – 2 years in Medical Billing (AR Calling – Denial Management) Notice Period: Immediate Joiners / Max 15 Days Mode: Work from Office (Chennai / Trivandrum) Why Join Prochant? Salary & Appraisal: Best in In...

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 ...

The ideal candidate should have experience in TPA billing and counseling. This includes submitting insurance claims accurately and on time, verifying the completeness of claim documents, and maintaining relationships with TPAs and insurance companies. As part of the role, you will be required to negotiate service agreements, monitor performance, and address any issues related to claim settlements or delays. It will also be important to confirm patient insurance coverage, obtain pre-authorizations for treatments and procedures, and coordinate with medical staff and insurers for approval. A key aspect of the position will involve tracking reimbursement trends, optimizing revenue, reducing clai...

Role & responsibilities Handle end-to-end accounts receivable (AR) for US healthcare clients. Work on claim denials and rejections from insurance companies. Initiate calls to insurance providers to obtain claim status and resolve denials. Work in compliance with HIPAA regulations. Update billing systems and provide accurate documentation after each interaction. Follow up with insurance companies to track unpaid claims. Meet performance metrics such as call quality, turnaround time, and accuracy. Preferred candidate profile Minimum 1 year of experience in international voice process, specifically in US Medical Billing. Sound understanding of US healthcare processes, insurance policies, and de...