Healthcare Denials Management Specialist

The impact you will make Interpret and use complex data to develop actionable steps that will improve processes and optimize results. Day-to-day, it's an analyst's job to assess company and client needs, review robust information, and analyze it, looking for trends or areas for improvement. What you will do Should be able to take ownership, handle open AR, and bring them to closure. Analyze outstanding claims and initiate collection efforts as per the aging report Initiate telephone calls to insurance companies to ascertain outstanding claim status Contact insurance companies for further explanation of denials and underpayments Review denials to determine necessary steps for claims review Should be able to convince the insurance company to pay the outstanding claims. Take appropriate action on claims to guarantee resolution Ensure accurate and timely follow-up where required Monitor all outstanding balances What you will bring Minimum a Graduate in any field of their choice. Ability to work in night shifts i.e. 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. Good Knowledge of US healthcare concepts, denial management, and insurance claims procedures Innovative, Motivational, Confident, Fair, Influential, and Respectful attitude Good Analytical knowledge What we would like to see Good written and verbal communication skills Strong basic mathematical skills A minimum typing speed of 25-30 words per minute Good command of conversational English in the American environment Job Type: Full-time Pay: ₹700,000.00 per year Schedule: Monday to Friday Work Location: In person