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3255 Denial Management Jobs

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1.0 - 5.0 years

3 - 5 Lacs

mumbai

Work from Office

Job seekers, Hiring for multiple positions for MUMBAI location. Open positions *AR Follow Up *Billing *Prior Authorization *EVBV Salary : Upto 5.75 LPA Shift will be US 5 Days working Cab & Meals WFO 1-4yrs Exp in the same is Mandatory Required Candidate profile Follow up with the payer to check on claim status Identify denial reason and work on resolution Should have worked in AR follow up Preferred Athena Software & Cardiovascular billing exp 9335-906-101

Posted 5 hours ago

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1.0 - 5.0 years

1 - 4 Lacs

hyderabad, chennai, bengaluru

Work from Office

Join Our Team AR Caller | Prior Auth Exe | Prior Auth QA | EVBV & Billing 1. AR Callers Denial Management - Physician Billing Locations: Hyderabad, Mumbai, Chennai Minimum 1+ Year Experience in AR Calling (Denial Management) Salary: Up to 40,000 Take-Home + Performance Incentives Work From Office Notice Period: Immediate Joiners Preferred (Relieving Letter not mandatory) Qualification: Inter & Above AR Caller Bangalore Hospital Billing Openings Minimum 1+ Year Experience in AR Calling (Denial Management) Salary: Up to 40,000 Take-Home + Performance Incentives Work From Office Notice Period: Immediate Joiners Preferred (Relieving Letter not mandatory) Qualification: Inter & Above 2. Prior Aut...

Posted 7 hours ago

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1.0 - 5.0 years

3 - 5 Lacs

hyderabad, mumbai (all areas)

Work from Office

1. We Are Hiring -AR Calling ||US Healthcare ||RCM|| Physician Billing ||Hospital Billing|| Eligibility :- Min 1+ years of experience into AR Calling in denial management into physician OR hospital billing. Locations :- Hyderabad , Chennai , Bangalore & Mumbai. Qualification :- Any Graduate. Package- 40 K + Incentives Immediate Joiners Preferred . Relieving letter Not Mandate. WFO. Perks & Benefits: Cab Facility. Incentives. Allowances. If Interested, Kindly share your updated resume to HR. Swetha- 9059181703 swetha.n@axisservice.co.in References are Welcome 2. We are Hiring Prior Authorization | Hyderabad Experience: Minimum 1 Year in Prior Authorization (Physician Billing) Salary: Up to 35...

Posted 7 hours ago

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2.0 - 7.0 years

5 - 6 Lacs

bengaluru

Work from Office

AR Calling.

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1.0 - 6.0 years

2 - 6 Lacs

hyderabad

Work from Office

Dear Candidate, Greetings from Infinx Healthcare - Hyderabad. We are hiring for AR Calling. interested candidates can Send their CV's on. jyothi.babu@infinx.com or call 9014286986 JD: Good communication skills with excellent denial knowledge. Minimum 1 year of experience in denials and RCM is must. Ok with Night shift. Work from office - Location, Hyderabad Perks and benefits One Way transport [ Drop ] PF and ESIC Role: Healthcare & Life Sciences - OtherIndustry Type: IT Services & Consulting Department: Healthcare & Life Sciences Employment Type: Full Time, Permanent Role Category: Healthcare & Life Sciences - Other

Posted 8 hours ago

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1.0 - 2.0 years

1 - 3 Lacs

chennai

Work from Office

Job Title: Executive AR Analysis (US Healthcare / Medical Billing/Physician Billing/Denial Management) Company: Maxenra Location and Shift: Tidal Park Chennai, Day Shift Job Location: Work From Office Job Summary: We are looking for an Executive AR Analysis to join our US Healthcare team at Maxenra. The role involves ensuring accurate billing, timely reimbursement, and effective denial management. If you have experience in medical billing, AR follow-up, and revenue cycle management (RCM) , we’d love to hear from you. Key Responsibilities: Ensure accurate billing and timely reimbursement for patients. Monitor late payments, investigate denied claims, and work on appeals. Maintain confidential...

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1.0 - 5.0 years

2 - 5 Lacs

chennai

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Dear Job Aspirants, Greetings from Global Healthcare Billing Partners Pvt. Ltd.! We are currently hiring for AR Callers with minimum 6 months of experience into Medical Billing Domain. Basic Requirements: Experience: 0.6 Years to 4 Years Salary: Best in Industry Work Mode:WFO Location: Vepery\Velachery Notice Period: Immediate Joiners Shift: Night Preferably candidates with experience in Denials Management- PROVIDER BILLING & HOSPITAL BILLING Mode of interview: Video call Interview . Interested candidate contact or share your updated resume to 9003239650 / 8925808598 MALINI HR [Whatsapp] Regards, MALINI HR 90032 39650

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1.0 - 6.0 years

1 - 4 Lacs

chennai

Work from Office

Dear Job Aspirants, Greetings from Global Healthcare Billing Partners Pvt. Ltd.! We are currently hiring for Credentialing Calling & Enrollment Process with minimum 6 months of experience into Medical Billing Domain. Basic Requirements: Experience: 1 - 4years, Salary: Best in Industry, Notice Period: Preferably Immediate Joiners/15 days Shift: Night JOB DESCRIPTION: 1.Timely follow-up with the payer to track application status. 2.Obtain the enrolment number from the payer and communicate the state of the application to the physician. 3.Periodic updates of the document library for credentialing purposes 4.Good Knowledge in Provider credentialing (Doctor side). 5.Experience in Insurance callin...

Posted 9 hours ago

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5.0 - 10.0 years

6 - 12 Lacs

chennai

Work from Office

Urgent openings Designated Manager or Asst manager for 3 Years AR experience Domine end to end RCM Client Management mandatory Salary 13l - 15l Chennai Virtual interview Interested candidates can share ur resume through WhatsApp 9176457453 Nandhini

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1.0 - 5.0 years

3 - 6 Lacs

hyderabad, chennai

Work from Office

Dear Experienced AR Callers, Now or never opportunity @ Hyderabad, Hurry-up we are hiring for the biggest BPO company in India Are you excited? yes, we are hiring experienced AR Callers with Denial Management experience in Physician Billing (CMS1500) - International Voice, US Healthcare. Are you an experienced AR Caller skilled in denial management ? Here's your chance to grow your career with a leading US healthcare process! Share your resume with us: Kaviya-8056864265 / Krithika-82205 18877 / Tahseen-9003282603 Roles & Responsibilities Review work orders and follow up with insurance carriers for claim status. Check pending claims and obtain payment details. Analyze denials/rejections and r...

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3.0 - 5.0 years

1 - 5 Lacs

hyderabad, chennai

Work from Office

Summary: The Senior Claims Processing Specialist is responsible for overseeing all aspects of charge creation and capture, ensuring accurate and compliant billing practices. This role also acts as liaison for clinical areas and revenue cycle (physicians, nurses, and other clinical staff) on proper documentation, coding, and billing procedures. The Senior Specialist plays a critical role in maximizing revenue integrity, minimizing denials, and ensuring compliance with payer regulations. Key Responsibilities: Charge Creation and Capture Oversight: Oversee the process of charge creation, ensuring accurate and timely capture of all billable services. Review encounter documentation (e.g., progres...

Posted 9 hours ago

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1.0 - 5.0 years

3 - 6 Lacs

hyderabad, chennai

Work from Office

Dear Experienced AR Callers, Now or never opportunity @ Chennai, Hurry-up we are hiring for the biggest BPO company in India Are you excited? yes, we are hiring experienced AR Callers with Denial Management experience in Physician Billing (CMS1500) - International Voice, US Healthcare. Are you an experienced AR Caller skilled in denial management ? Here your chance to grow your career with a leading US healthcare process! Share your resume with us: Amirtha- 8122080023 / Karthick- 8056060950 / Karunya-9962416078 Roles & Responsibilities: Review work orders and follow up with insurance carriers for claim status. Check pending claims and obtain payment details. Analyze denials/rejections and re...

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1.0 - 6.0 years

1 - 5 Lacs

ahmedabad

Work from Office

Calling Insurance companies (in US) and follow up on outstanding Accounts Receivable. Calls to insurances for claim status and eligibility verification Denial documentation and taking further action Required Candidate profile Get the status of the unpaid claims 1+ year experience in USA AR calling experience /US healthcare Ready to work in night shift Completes targets with speed and accuracy as per client SLAs

Posted 10 hours ago

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3.0 - 5.0 years

4 - 8 Lacs

hyderabad, india

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Summary: The Senior Authorization/Pre-Estimate Collection Agent is responsible for securing required authorizations and pre-estimates for healthcare services prior to service delivery and ensuring the collection of patient financial responsibilities related to those pre-estimates. This role requires in-depth knowledge of insurance verification, authorization processes, pre-estimate calculation, and patient communication strategies. The Senior Agent handles complex cases, provides guidance to junior team members, and plays a key role in optimizing upfront collections and minimizing denials. Essential Duties and Responsibilities: Authorization Management: Verify patient insurance coverage and ...

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1.0 - 2.0 years

2 - 2 Lacs

kerala

Work from Office

Verify patients insurance coverage and benefits Handle and submit insurance claims Communicate with insurance companies Resolve claim denials and issues Ensure accurate billing and coding Maintain up-to-date patient insurance records Assist patients with insurance-related questions

Posted 10 hours ago

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1.0 - 6.0 years

2 - 5 Lacs

hyderabad

Work from Office

Hello Everyone! We are hiring for ar caller need minimum 1 year experience into ar calling physician billing cms1500form and hospital billinbg Location: Hyderabad Interview: face to face, and virtual notice: immediate to 20 days Note: we are ok with without reliving letter but pf is mandatory from previous company only for physician billing Experience should be consider only provider side RCM. reliving letter not mandatory If anyone interested please ping me on watsapp Akanksha 9691664620 or call me. If I'll be not available to response your call please watsapp me. Thanks and regards Akanksha 9691664620 akanksha.t@maintec.in

Posted 11 hours ago

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1.0 - 3.0 years

1 - 3 Lacs

coimbatore

Work from Office

Verify patients benefits for the service and calculate patients estimate Responsible for calling insurance companies and follow up the outstanding Accounts Receivable Escalate difficult collection situation to management in timely Provident fund

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13.0 - 17.0 years

0 Lacs

hyderabad, telangana

On-site

As an AR Caller in US Healthcare (Physician Billing) at our company, you will play a crucial role in managing accounts receivable for healthcare providers. Your responsibilities will include: - Making calls to insurance companies to follow up on outstanding claims - Resolving denials and rejections to ensure timely reimbursement - Updating patient accounts with accurate information - Working on aged AR reports to prioritize collections To excel in this role, you will need: - At least 1 year of experience in Physician Billing, Revenue Cycle Management (RCM), or Denial Management - Strong communication skills to effectively interact with insurance companies and internal stakeholders - Knowledg...

Posted 15 hours ago

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2.0 - 6.0 years

0 Lacs

haryana

On-site

As a member of the accounts receivable follow-up team at R1 RCM India, your role is crucial in ensuring maximum reimbursement from insurance companies by looking after denied claims and reopening them. With a commitment to transforming the healthcare industry, R1 RCM India aims to simplify healthcare processes and enhance efficiency for healthcare systems, hospitals, and physician practices. **Key Responsibilities:** - Identify denial reasons and work towards resolution. - Prevent claims from being written off by timely follow-up. - Utilize knowledge of Billing scrubbers for making edits. - Handle Contractual adjustments & write off projects. - Maintain a good Cash collected/Resolution Rate....

Posted 15 hours ago

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4.0 - 8.0 years

0 Lacs

karnataka

On-site

Role Overview: You will be responsible for ensuring accuracy, compliance, and continuous improvement in healthcare claim processing in the role of a Quality Specialist, focusing on claims adjudication processes in the US Healthcare domain. Your role will involve identifying trends, errors, and areas for improvement, collaborating with teams to address quality gaps, preparing audit reports, maintaining documentation, supporting process improvement initiatives, and ensuring regulatory standards adherence. Key Responsibilities: - Identify trends, errors, and areas of improvement in claims adjudication processes - Collaborate with operations and training teams to address quality gaps and impleme...

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2.0 - 5.0 years

3 - 5 Lacs

mumbai suburban

Work from Office

Summary: As an AR Executive, you will be responsible for managing accounts receivable by following up with insurance companies to resolve unpaid or denied claims. You will ensure timely collections and help reduce outstanding AR in alignment with revenue cycle goals. Key Responsibilities: Make outbound calls to insurance payers to check claim status and follow up on unpaid or underpaid claims. Investigate claim denials, underpayments, or rejections and take corrective actions including reprocessing or appeals. Interpret Explanation of Benefits (EOBs) and denial codes. Accurately document call notes, actions taken, and claim status in the billing system. Collaborate with team members or clien...

Posted 21 hours ago

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1.0 - 3.0 years

2 - 4 Lacs

chennai

Work from Office

Role & Responsibilities: Insurance Follow-up: Contact insurance companies to follow up on outstanding accounts receivable and pending claims. Claim Resolution: Prioritize unpaid claims and convince insurers to reprocess denied claims. Verification & Corrections: Verify patient insurance details, eligibility, and benefits. Request EOBs for paid claims and correct claims based on feedback. Status Updates: Check claim statuses and address issues with insurance companies. Preferred Candidate Profile: Experience: 1-3 years in AR follow-up/denial management for U.S. healthcare customers. Skills: Strong verbal communication in English, with knowledge of denial management and physician billing. Shif...

Posted 1 day ago

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3.0 - 7.0 years

2 - 7 Lacs

noida

Work from Office

Location: Noida (Only WFO) Roles and Responsibilities: Manage a team of AR callers to ensure timely and effective resolution of accounts receivable issues. Develop and implement strategies for denial management, reducing denial rates and improving revenue cycle efficiency. Collaborate with internal stakeholders to identify areas for process improvement and implement changes that drive revenue growth. Desired Candidate Profile: 3-7 years of experience in AR calling or revenue cycle management in the US healthcare industry. Strong understanding of denial management principles, including appeals process and denial coding. Proven ability to manage a team effectively, with excellent communication...

Posted 1 day ago

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2.0 - 6.0 years

2 - 6 Lacs

chennai

Work from Office

Generate and analyze AR reports to identify trends and areas for improvement. Follow up on submitted claims, monitor unpaid claims, and identify underpaid and unbilled claims, ensuring all necessary corrections and documentation are completed. Excellent skills in analyze and resolve denied claims, identify reasons for denials, and implement strategies to minimize future denials. Review Explanation of Benefits (EOB) / Electronic Remittance Advice (ERA) denials, along with patient history notes, to understand and resolve discrepancies in claims. Perform pre-call analysis and check status by calling the payer or using IVR Actively contact insurance companies to inquire about the status of pendi...

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0.0 - 5.0 years

2 - 4 Lacs

bengaluru

Work from Office

Roles and Responsibilities Authorize or deny medical claims based on patient's insurance policy. Make outbound calls to patients, providers, and insurance companies for claim submission and follow-ups. Manage denial management by identifying root causes of denials and resubmitting claims as needed. Ensure accurate documentation of all interactions with patients, providers, and insurance companies. Maintain a high level of accuracy in processing claims while meeting productivity targets. Desired Candidate Profile for Authorization AR & AR caller 1-5 years of experience in Medical Billing or related field. Strong understanding of US healthcare systems and regulations. Excellent communication s...

Posted 1 day ago

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Exploring Denial Management Jobs in India

The denial management job market in India is thriving, with numerous opportunities available for skilled professionals in this field. Denial management is a crucial aspect of healthcare revenue cycle management, where professionals work to identify, analyze, and resolve claim denials to ensure timely and accurate reimbursement for healthcare services. For job seekers interested in pursuing a career in denial management, here is a guide to the job market in India:

Top Hiring Locations in India

  1. Mumbai
  2. Bangalore
  3. Delhi
  4. Hyderabad
  5. Chennai

Average Salary Range

The average salary range for denial management professionals in India varies based on experience levels. Entry-level positions may start at around INR 2-3 lakhs per annum, while experienced professionals can earn upwards of INR 8-10 lakhs per annum.

Career Path

Career progression in denial management typically follows a path from Denial Analyst to Denial Specialist, Denial Manager, and eventually Denial Management Director. With experience and additional certifications, professionals can advance to higher-level roles with increased responsibilities and pay.

Related Skills

In addition to expertise in denial management, professionals in this field should possess skills in data analysis, problem-solving, communication, and knowledge of healthcare regulations and billing practices.

Interview Questions

  • What is the importance of denial management in healthcare revenue cycle? (basic)
  • How do you identify trends in claim denials and develop strategies for prevention? (medium)
  • Can you walk me through a time when you successfully overturned a significant denial and recovered reimbursement for the organization? (advanced)
  • How do you stay updated on changes in healthcare regulations that may impact denial management practices? (medium)
  • What strategies do you implement to reduce denials and improve revenue recovery rates? (medium)
  • Describe a challenging denial case you handled and the steps you took to resolve it. (advanced)
  • How do you prioritize denials for resolution based on their impact on revenue and resources? (basic)
  • What software or tools have you used for denial management, and how do they improve efficiency in the process? (medium)
  • Can you explain the difference between hard and soft denials in healthcare billing? (basic)
  • How do you collaborate with other departments, such as coding and billing, to address denial issues effectively? (medium)
  • In your opinion, what are the key metrics to track and analyze in denial management performance? (medium)
  • How do you ensure compliance with HIPAA regulations and patient confidentiality in denial management processes? (basic)
  • What steps would you take to train and educate staff on best practices for denial management? (medium)
  • How do you handle denials related to pre-authorizations and prior approvals from payers? (advanced)
  • What are the common reasons for claim denials in healthcare billing, and how do you address them proactively? (medium)
  • Describe a time when you had to escalate a denial issue to senior management, and how was it resolved? (advanced)
  • How do you conduct root cause analysis for recurring denial issues and implement long-term solutions? (medium)
  • Can you discuss a time when you had to negotiate with a payer to resolve a complex denial issue? (advanced)
  • How do you ensure timely follow-up on denied claims and maintain a low AR days outstanding? (medium)
  • What strategies do you use to motivate and engage team members in denial management efforts? (medium)
  • How do you adapt to changes in payer policies and reimbursement rules that impact denial management practices? (medium)
  • Can you provide an example of a successful denial appeal you prepared and submitted on behalf of the organization? (advanced)
  • How do you measure the effectiveness of denial management processes and make recommendations for continuous improvement? (medium)
  • What are the ethical considerations to keep in mind when appealing denials on behalf of healthcare providers? (medium)
  • How do you handle high-volume denials during peak periods, such as month-end or year-end closures? (medium)

Closing Remark

As you prepare for interviews and explore opportunities in denial management, remember to showcase your expertise, problem-solving skills, and commitment to improving revenue cycle efficiency. With the right skills and experience, you can excel in this dynamic and rewarding field in the healthcare industry. Best of luck in your job search!

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