Healthcare Denials Management Specialist

The impact you will make You will interpret and use complex data to develop actionable steps that will improve processes and optimize results. As an Analyst, your responsibility will be to assess company and client needs, review robust information, and analyze it to identify trends or areas for improvement. What you will do You should be able to take ownership, handle open AR, and bring them to closure. This involves analyzing outstanding claims and initiating collection efforts as per the aging report. You will need to make telephone calls to insurance companies to determine outstanding claim status, review denials for necessary steps in claims review, and take appropriate action on claims to ensure resolution. Additionally, ensuring accurate and timely follow-up when required and monitoring all outstanding balances will be part of your responsibilities. What you will bring You must be a minimum Graduate in any field of your choice. The role requires the ability to work night shifts, specifically from 05:00 PM to 02:00 AM and 08:00 PM to 05:00 AM IST for Gurugram, and 06:30 PM to 03:30 AM for Pune. Candidates with 6 months to 2 years of relevant experience in Denial Management and Insurance Follow-ups will be designated as Analysts, while those with 2+ years of relevant experience will be Senior Analysts. You should possess good knowledge of US healthcare concepts, denial management, and insurance claims procedures, along with traits like innovation, motivation, confidence, fairness, influence, and respectfulness. Analytical knowledge is also a key requirement. What we would like to see We are looking for candidates with good written and verbal communication skills, strong basic mathematical skills, and a minimum typing speed of 25-30 words per minute. A good command of conversational English in an American environment is desirable. Job Type: Full-time Schedule: Monday to Friday Education: Bachelor's (Required) Shift availability: Night Shift (Required) Overnight Shift (Required) Day Shift (Required) Work Location: In person,