Posted:1 month ago| Platform: Shine logo

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Job Type

Full Time

Job Description

As a Denial Analyst, you will be responsible for analyzing, researching, and resolving denied claims in the field of medical billing. Your role will involve interpreting denial reasons, resubmitting claims accurately, and preparing appeals when necessary. You will collaborate closely with the billing department, insurance companies, and healthcare providers to ensure that claims are processed and paid correctly. Key Responsibilities: - Analyze denial reasons and take appropriate action - Track denial trends and address systemic issues - Prepare and submit appeals for denied claims - Monitor appeal status and follow up with relevant parties Qualification Required: - Education: Any graduate - Experience: Minimum 2-3 years in a relevant field - Skills: Proficiency in Denials The successful candidate for this role must have a comprehensive understanding of insurance policies, coding guidelines, and the revenue cycle process. Proficiency in healthcare billing software and claim management systems, such as Epic, Cerner, or Meditech, is essential. Additionally, familiarity with ICD-10, CPT, and HCPCS codes for billing is required. The ideal candidate should possess a minimum of 2 years of experience in medical billing, claims processing, or healthcare revenue cycle management. Knowledge of Medicare, Medicaid, and commercial insurance policies, as well as HIPAA compliance standards and confidentiality protocols, is crucial for this role. This full-time position offers a flexible schedule and benefits including health insurance, Provident Fund, and a performance bonus. The job is based in Chennai, Tamil Nadu, and candidates must be willing to commute or relocate as necessary. If you meet the qualifications and are ready to start this exciting opportunity, the expected start date is 12/07/2025.,

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