Job Title: Medical Data Analyst (MDA) Job Location: Navi Mumbai Job Duties / Responsibilities: Data management and Curation Performs complex data abstraction (i.e. requiring interpretation) and data entry for specified disease and project requirements Participates and contributes to team meetings and learning sessions Maintains a high level of medical knowledge and terminology and expertise of electronic medical record and data capture systems. Self reports activities like time spent on records, audits completed including all relevant details and any other reporting functions assigned by Operations and QA management teams. Quality Assurance Consistently complies with minimum quality levels indicated in the QA plan for each project ( >95% or higher accuracy depending on the project) Receives feedback from Quality Analyst and ensures timely reconciliation of errors Participates in quarterly Inter rater reliability (IRR) Special Projects May lead or participate in special projects or client specific initiatives as directed. Security responsibilities All Operations staff should never share password to anyone. All Operations staff need to ensure systems are locked when not in use. All Operations staff must ensure no unauthorized applications are used. All Operations staff must make no PHI data is saved. Education and Experience: Graduate / PG - Medicos: BDS, MDS, BAMS, BUMS, BHMS, BPT, MD 0-5 years of experience in clinical or non clinical field Should be presentable and pleasant Ability to multitask, work under pressure and meet deadlines required Show more Show less
ob Description: Medical Coding - Assistant Training Manager / Training Manager The Medical Coding Training Manager is responsible for overseeing and managing the training and development of medical coders within the organization. This role involves designing and implementing training programs, ensuring compliance with coding standards and regulations, and maintaining high levels of coding accuracy and efficiency. The Training Manager will collaborate with various departments to identify training needs, develop training materials, and evaluate the effectiveness of training programs. Location: Trichy Education: 1. Bachelor’s degree in clinical sciences, General Life Science or a related field. 2. Certified Professional Coder (CPC) or equivalent certification required. Experience: 1. Minimum of 8 years of experience in medical coding with at least 5 years in a training or supervisory role. 2. In-depth knowledge of ICD-10, CPT, HCPCS, and other relevant coding systems. 3. Experience in Multispecialty. Skills: 1. Strong leadership and team management skills. 2. Excellent verbal and written communication skills. 3. Proficiency in using medical coding software and e-learning platforms. 4. Ability to analyse data and generate actionable insights. Key Responsibilities: 1. Recruit, train, and supervise a team of medical coding trainers. 2. Conduct performance evaluations and provide ongoing coaching and mentorship. 3. Develop career development plans for coding staff to foster growth and advancement within the organization. 4. Design and develop comprehensive training programs for new medical coding specialties 5. Update training materials regularly to reflect the latest coding standards, regulations, and industry best practices. 6. Implement e-learning platforms and tools to enhance training accessibility and engagement. 7. Work closely with the medical coding team, billing department, and other relevant departments to ensure cohesive training strategies. 8. Track and report on training program effectiveness, coder performance, and compliance metrics. 9. Analyse coding data to identify trends, training needs, and areas for improvement. 10. Prepare and present regular reports to senior management on training outcomes and coder performance. Show more Show less
Job Summary: The Deputy General Manager (DGM) - Operations will play a critical role in the execution, management, and continuous improvement of operational strategies across the organization. This role is responsible for overseeing complex operations, leading cross-functional teams, and driving process optimization while ensuring alignment with overall business objectives. The DGM will work closely with senior management to support strategic initiatives and ensure high standards in operational performance. Key Responsibilities: Strategic Operations Leadership: Collaborate with senior management to develop and execute operational strategies that align with the company’s goals and vision. Drive operational excellence across multiple departments, ensuring smooth and efficient day-to-day operations. Oversee and manage complex operational projects, ensuring that they are completed on time, within budget, and meet business objectives. Team Management & Development: Lead, mentor, and develop teams, including managers and supervisors, fostering a culture of accountability, innovation, and continuous improvement. Develop performance standards, conduct regular evaluations, and provide coaching and professional development opportunities for staff. Ensure that all team members understand their roles and responsibilities and that they are equipped to perform their duties efficiently. Process Improvement & Efficiency: Identify opportunities to streamline operations, improve quality, and reduce operational costs. Implement and oversee best practices in process optimization, leveraging technology and automation where applicable. Monitor KPIs and other performance metrics to track operational effectiveness and identify areas for improvement. Cross-Functional Collaboration: Work closely with senior management teams in departments such as Finance, HR, Sales, and IT to ensure seamless integration of operational activities and the alignment of cross-functional objectives. Participate in strategic decision-making processes to drive organizational growth and operational success. Financial & Resource Management: Oversee the operations budget and ensure cost-effective management of resources. Manage supply chain, procurement, and inventory processes, ensuring optimal use of resources. Approve capital expenditure and resource allocation in line with operational requirements and financial targets. Risk & Compliance Management: Ensure operations adhere to all relevant regulatory, health, safety, and compliance standards. Manage risk by identifying potential operational bottlenecks, addressing challenges, and ensuring timely mitigation of risks. Lead efforts to maintain or improve industry certifications or quality standards as required. Reporting & Analysis: Provide regular reports on operational performance, including key metrics such as productivity, efficiency, quality, and cost control. Present operational performance insights and strategic recommendations to senior leadership for decision-making. Customer Focus & Stakeholder Management: Ensure high levels of customer satisfaction by meeting and exceeding service delivery expectations. Manage relationships with key internal and external stakeholders to maintain operational alignment with business priorities. Qualifications & Skills: Education: Bachelor’s degree or A Master’s degree (MBA) or relevant certifications is highly preferred. Experience: 15 years to 20 year of experience in operations management in US healthcare RCM (Coding, AR or Billing), with at least 8 to 10 years in a managerial role Extensive experience in driving process improvements, cost optimization, and managing large teams across operations. Skills: Strong leadership and people management skills, with the ability to inspire and motivate teams. Expertise in operational strategy, project management, and continuous improvement initiatives (Lean, Six Sigma, etc.). High level of proficiency in operational management systems, ERP software, and data analysis tools. Excellent financial acumen, with experience managing budgets, costs, and resource allocation. Excellent communication skills, both written and verbal, with the ability to communicate effectively with all levels of the organization. Strong problem-solving abilities and decision-making capabilities in fast-paced, complex environments. Show more Show less
Key Responsibilities: Lead and manage a team of medical coders focusing on IVR-related services Ensure accurate translation of IVR procedures, services, and diagnoses into standardized codes for billing and record-keeping Review and audit coded data for accuracy, compliance, and quality Train and mentor team members to ensure adherence to industry standards and internal guidelines Collaborate with QA, compliance, and billing teams to ensure end-to-end accuracy in coding and documentation Drive continuous improvements in coding workflows and delivery timelines Required Skills: Minimum 5+ years of total experience in Medical Coding, with 1–2 years of experience as a Team Lead (on paper) Strong expertise in IVR Medical Coding – translating IVR procedures into CPT, ICD-10, and HCPCS codes Proficient in coding standards, payer-specific guidelines, and compliance regulations Excellent team management, leadership, and communication skills Strong analytical and decision-making abilities Show more Show less
Job Title: Team Leader Location: Chennai & Bangalore Specialties: Surgery, E/M IP, E/M OP Service Line: Medical Coding Department: Operations Job Description: Monitor, identify and resolve performance/behavior/attendance issues using prescribed performance management techniques. Monitor and act on personnel and disciplinary issues. Provide subject matter expertise to Quality Control Analysts in the team. Ensure training needs of subordinates are met. Adjust to the needs of meeting service level agreements under supervision of Operations Manager. Successfully complete all client related training and keep record of the same. Hold team meetings on a regular basis with direct reports. Communicate all process and client updates to direct reports within specific timelines and keep record for such updates. Act as single point contact for the assigned team members for all their job-related needs and create a harmonious work environment. Responsible for day-to-day functional supervision of work group, including work assignment and attendance monitoring; providing input into selecting, training, developing, and completing performance appraisal of work group(s) in accordance with the organization’s policies and applicable compliance requirements. Job Specification: Minimum of 5/6 Years of Professional and Relevant Experience in Medical Coding with specialty Surgery, E/M IP, E/M OP. Must have experience in Client and Stakeholder Management, Team Management. Must have Coding Certification like CPC/ CCS/ COC/ AHIMA. Any graduate will do. Shift Details: General Shift / Day Shift Work Mode: WFO Show more Show less
Job Title: Process Coach Location: Chennai, Trichy & Hyderabad Specialties: E/M IP, E/M OP, Surgery, IVR Service Line: Medical Coding Job Description: Understand the quality requirements both from process perspective and for targets. To Train effectively the new joiners on Medical Coding concept with the guidelines. To monitor Trainees productivity and quality output per OJT glide path/ramp up targets. Providing continuous feedback in a structured manner. Educating on the client specs and guidelines. Educating on the latest updates on the coding aspects. Carrying out one-on-one session on the repeated errors. To provide feedback on productivity and quality of trainees to Team Leads. To pass on the QC feedback effectively to the trainees. To help Team Leads in early confirmation of Trainees by providing the valuable inputs. Job Specification: Minimum of 3 Years of Professional and Relevant Experience in Medical Coding with specialty E/M IP and OP, Surgery and IVR. Extensive Coaching & Training as per process defined. Must have Variant Training & Coaching Strategy. Must have Coding Certification like CPC, CCS, COC, AHIMA. Any graduate will do. Shift Details: General Shift / Day Shift Work Mode: WFO Show more Show less
Executive AR Caller / Senior Executive (AR Calling) Roles and Responsibilities: Should handle US Healthcare providers/ Physicians/ Hospital's Accounts Receivable. To work closely with the team leader. Ensure that the deliverables to the client adhere to the quality standards. Responsible for working on Denials, Rejections, LOA's to accounts, making required corrections to claims. Calling the insurance carrier & Document the actions taken in claims billing summary notes. To review emails for any updates Identify issues and escalate the same to the immediate supervisor Update Production logs Strict adherence to the company policies and procedures. Required Skills: Sound knowledge in Healthcare concept. Should have 1 Yr to 5 Yrs of AR calling Experience. Excellent Knowledge on Denial management. Understand the client requirements and specifications of the project Should be proficient in calling the insurance companies. Ensure targeted collections are met on a daily / monthly basis Meet the productivity targets of clients within the stipulated time. Ensure accurate and timely follow up on pending claims wherein required. Prepare and Maintain status reports Kindly contact - 93633 39512 / Mayuri.Jayakumar@omegahms.com Show more Show less
Company Description Omega Healthcare Management Services® is a global company founded in 2003 that specializes in optimizing revenue cycle operations, care coordination, and clinical research for healthcare organizations. With a workforce of 35,000 skilled workers in the United States, India, Colombia, and the Philippines, Omega Healthcare empowers healthcare providers with intelligent solutions and robust technology to thrive in the industry. Role Description This is a full-time on-site role for an AR Caller located in Thane. The AR Caller will be responsible for managing accounts receivable, following up on unpaid claims, resolving denials, and communicating with insurance companies and patients to ensure timely payments. Qualifications Experience in accounts receivable or medical billing Knowledge of insurance billing and claims processing Strong communication and negotiation skills Attention to detail and accuracy in data entry Ability to work effectively in a team environment Proficiency in Microsoft Office and billing software Medical coding certification is a plus Bachelor's degree in Healthcare Management or related field
Company Description Founded in 2003, Omega Healthcare Management Services® specializes in optimizing revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. The company partners with providers, payers, life science companies, medical device manufacturers, health technology firms, and industry partners, enhancing these teams with robust technology, specialty expertise, and operational support. Omega Healthcare serves over 350 healthcare organizations with a workforce of 35,000 skilled professionals across the United States, India, Colombia, and the Philippines. For more information, visit www.omegahms.com. Role Description This is a full-time on-site role for a Manager - US Healthcare RCM Process - Hospital Billing, located in Tamil Nadu, India. The manager will oversee the end-to-end revenue cycle management (RCM) process for hospital billing, including patient access, mid-revenue cycle functions, business office responsibilities, care coordination, and health data curation. Daily tasks include claims management and billing, payment posting and reconciliation, A/R management and collections, denials and appeals management, underpayment analysis and recovery, and relevant data analytics. The manager will also be responsible for team training, project management, and implementing healthcare consulting strategies. Qualifications Analytical Skills and Project Management experience Effective Communication and Healthcare Consulting skills Experience in Training and team management Knowledge of US healthcare revenue cycle management and hospital billing processes Strong leadership and organizational skills Bachelor's degree in Healthcare Management, Business Administration, or related field Relevant certifications in Revenue Cycle Management or Project Management are a plus
Company Description Omega Healthcare Management Services® (Omega Healthcare) is a global provider of intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research. With a team of 35,000 skilled workers, Omega Healthcare serves 350+ healthcare organizations in the United States, India, Colombia, and the Philippines. The company offers end-to-end revenue cycle management solutions, care coordination services, health data curation, payer operations support, and pharma services. Role Description This is a full-time on-site role for a Certified EM OP/IP Coder at Omega Healthcare Management Services. The role involves daily tasks such as medical records coding, charge capture, chart audit, clinical documentation improvement, and HCC coding review. Qualifications Proficient in Medical Records Coding, Charge Capture, and Clinical Documentation Improvement Experience in HCC Coding Review and Chart Audit Knowledge of healthcare regulations and coding guidelines Certified Professional Coder (CPC) certification Excellent attention to detail and accuracy in coding Strong analytical and problem-solving skills Ability to work efficiently in a fast-paced environment Experience with EMR systems is a plus Bachelor's degree in Health Information Management or related field
Job Description As a Sr. Executive AR Caller at Omega Healthcare Management Services, you will play a crucial role in accounts receivable management and revenue cycle optimization. Your responsibilities will include handling insurance claims processing, collections, and ensuring efficient administrative workflows. With your expertise in healthcare billing and coding regulations, you will contribute to the seamless operation of revenue cycle operations. To excel in this role, you must possess strong communication and negotiation skills to effectively interact with clients and stakeholders. Your ability to work in a dynamic environment and attention to detail will be essential in ensuring accurate data entry and maintaining high standards of quality. Proficiency in Microsoft Excel and other relevant software tools will aid you in performing your tasks efficiently. Ideally, you should have prior experience in accounts receivable management, insurance claims processing, and revenue cycle optimization. A Bachelor's degree in Healthcare Administration, Business, or a related field is required to demonstrate your academic background. Additionally, holding a certification in Medical Billing and Coding would be advantageous in fulfilling the responsibilities of this role effectively.,
As a Power Platform Specialist at Omega Healthcare Management Services, you will be responsible for software development, solution architecture, and project management related to the Omega Digital Platform. This is a full-time hybrid role based in Bengaluru with some work from home flexibility. To excel in this role, you should possess analytical skills along with expertise in Power App and Power Automate. Effective communication and project management abilities are essential for success in this position. Experience in Power Platform development and knowledge of healthcare technology and domain will be beneficial. A Bachelor's degree in Computer Science, Information Technology, or a related field is required for this role. If you are passionate about leveraging Power Platform to drive digital solutions in the healthcare industry, we encourage you to apply for this exciting opportunity at Omega Healthcare Management Services.,
The Sr. Executive AR Caller position at Omega Healthcare in Chennai is a full-time on-site role that requires expertise in accounts receivable management, insurance claims processing, collections, and revenue cycle optimization within the healthcare industry. You will be responsible for handling day-to-day tasks related to these areas to ensure efficient operations and maximize revenue. To excel in this role, you should have experience in accounts receivable management, insurance claims processing, and revenue cycle optimization. Strong communication and negotiation skills are essential to effectively interact with stakeholders. Knowledge of healthcare billing and coding regulations is crucial to ensure compliance with industry standards. The ability to thrive in a fast-paced environment is key to success in this role. Proficiency in Microsoft Excel and other relevant software will be necessary to carry out tasks efficiently. Attention to detail and accuracy in data entry are important to maintain the integrity of financial records. A Bachelor's degree in Healthcare Administration, Business, or a related field is required for this position. Certification in Medical Billing and Coding would be considered a plus. Join Omega Healthcare and contribute to the optimization of revenue cycle operations and administrative workflows to support healthcare organizations in delivering quality care.,
The Power Platform Specialist position at Omega Healthcare Management Services is a full-time hybrid role that involves software development, solution architecture, and project management tasks related to the Omega Digital Platform. Based primarily in Bengaluru, this role also offers some flexibility for remote work. The ideal candidate for this role should possess strong analytical skills, expertise in Power App and Power Automate, effective communication abilities, and project management experience. Additionally, candidates should have a background in Power Platform development, knowledge of healthcare technology and domain, and hold a Bachelor's degree in Computer Science, Information Technology, or a related field.,
Technical Architect – Hybrid Infrastructure, Cloud & Security As enterprises operate in hybrid environments—balancing legacy systems with public cloud adoption—the need for a security-aware infrastructure architect has become mission-critical. This role ensures that architectural decisions are secure by design, scalable, and compliant across on-prem, cloud, and emerging AI-driven ecosystems. The position exists to enable governed transformation while aligning IT infrastructure and cloud strategies with enterprise risk posture, regulatory compliance, and AI/GenAI governance principles. Reporting Line Reports To: AVP – Global IT Security and Compliance Works Closely With: Cloud Engineering, Infrastructure Operations, Cybersecurity, Compliance, Enterprise Architecture, and Data Governance Teams What We Are Looking For We are looking for a strategic Technical Architect with a deep understanding (hands-on not mandatory) of: - Hybrid infrastructure design principles (on-prem and cloud) - Cybersecurity best practices (Zero Trust, segmentation, data protection) - Enterprise governance frameworks (TOGAF, COBIT) - AI/ML platform governance, including GenAI tool oversight, risk assessment, and policy alignment The ideal candidate should be able to evaluate, influence, and architect platforms that align with the organization's security, compliance, and digital transformation goals. Technical & Governance Focus Areas - Cloud Architecture (Azure/AWS/GCP): Understanding of services, architectural patterns, IAM, encryption, and secure connectivity - Infrastructure Design: DC/DR, segmentation, SD-WAN, perimeter design, and HA models - Cybersecurity Alignment: Security zones, threat modeling, CSPM, CNAPP, and DLP strategies - DevOps & Automation Governance: IaC awareness, CI/CD pipeline oversight, policy-as-code understanding - AI/ML & GenAI Governance: - Familiarity with model lifecycle management, data privacy, auditability, and usage control - Alignment to ISO 42001, NIST AI RMF, and enterprise AI/GenAI policy frameworks Governance & Framework Alignment - Strong knowledge of TOGAF, COBIT, ISO 27001, and risk-driven architecture - Participates in Architecture Review Boards, Cloud Governance Councils, and AI oversight groups - Aligns with DSPM, Cloud Compliance Posture, and Zero Trust strategies Preferred Certifications - Cloud: Azure Solutions Architect, AWS SA-Professional, or GCP Architect - Architecture: TOGAF Certified, COBIT 2019 Foundation - Security: CISSP, CCSP (preferred) - AI Governance (Nice to Have): Familiarity with ISO 42001, NIST AI RMF Expanded Cybersecurity Alignment (Updated with OWASP) - Zero Trust and Segmentation: Familiarity with secure network and identity architecture patterns - Data Protection Lifecycle: Understanding of encryption, tokenization, DLP, and secure access - Threat Modeling: Awareness of techniques such as STRIDE, DREAD, and OWASP Top 10 risks, especially relevant for APIs, cloud-native apps, and AI-driven interfaces - API and Web Security: Ensures compliance with OWASP API Security Top 10 and Secure Coding Guidelines - Collaborates with AppSec teams to embed secure architecture practices into CI/CD pipelines AI/ML & GenAI Governance (Extended) - Ensures that GenAI tools and APIs adhere to secure integration principles, including OWASP AI Security & Privacy Guidelines - Participates in defining secure usage boundaries, input sanitization, and output validation frameworks - Collaborates with data scientists and ML engineers to map AI flows to threat models and control objectives Qualifications [Some qualifications you may want to include are Skills, Education, Experience, or Certifications.] Example: Excellent verbal and written communication skills
Dear Candidates, Greetings from Omega Healthcare! We are expanding our team and looking for enthusiastic Freshers to join as AR Associate (Voice Process) Job Location: Tiruchirappalli, Tamil Nadu Shift Timing: 7.30PM - 4.30AM (US Shift) Skills: Good Communication skills and Analytical skills Job Description: Identify potential process improvements, trends, issues and escalate to Supervisor through calling. Follow the Workflow documentation like Update tracker, Issue Log. Be part of all the training session to gain knowledge towards RCM. Identify the accounts which does not require calling and can be fixed by Analyst to resolve. Logical thinking to identify the trends, resolve accounts for an error free account. Identify payer issues and leads special projects to aggregate claim data for payer reprocessing and escalate complex payer issues to the lead billing specialist as necessary. Requirements: Willingness to work with Night shift Readiness to relocate Competitive package in line with company standards If you are interested, kindly share your resume to below mentioned Email. For further more details Contact us Karthika R HR Executive karthika.rengaraj@omegahms.com 8438290984 Industry Hospitals and Health Care Employment Type Full-time
🔹 Job Title: Denials Coding Specialist 🔹 Location: Chennai 🔹 Work Mode: On-site 🔹 Employment Type: Full-time 🔹 Experience: Minimum 2 years 🔹 Certification: Mandatory Requirements: • In-depth knowledge of coding denials and denial management • Strong analytical and communication skills • Certified coders only (mandatory) DM your updated CV. #Hiring #DenialsCoding #OmegaHealthcare #ChennaiJobs #MedicalCoding #CertifiedCoders #HealthcareCareers #JobOpening #RCM #HealthcareJobs
You have over 15 years of experience, with at least 5 years in a production 24/7 high-availability multi-site enterprise ERP environment. Your expertise includes application hosting, voice and data networks, security, and information protection, showcasing a deep technical and strategic understanding of IT Services and Operations delivered by Sterling. Your responsibilities will involve developing and implementing comprehensive IT infrastructure strategies to align with business goals, overseeing network management, system administration, and IT security activities. You will lead the overall infrastructure for a complex organization and network, manage day-to-day operational tasks within the IT Infrastructure team, and ensure cost-effectiveness by overseeing the annual IT budget. Your role will also require coordinating technology installations, upgrades, and maintenance, as well as working closely with the central procurement team for purchase follow-ups and vendor coordination. You will generate performance reports, ensure IT activities meet defined KRAs and KPIs, and solve complex problems by re-evaluating new factors. Additionally, you will be responsible for managing internal and external communications, being the primary escalation contact for business issues, and maintaining relationships with external organizations and suppliers. Implementing and maintaining IT security measures, ensuring compliance with regulations and standards, and collaborating with other departments to align IT infrastructure efforts with business objectives are crucial aspects of this role. Furthermore, you will lead and mentor the IT infrastructure team, fostering a culture of high performance and technical excellence. Your ability to develop and implement strategic IT infrastructure plans aligned with business objectives, provide strategic recommendations to senior management, and exhibit strong leadership skills will be essential in this position. Strong communication and interpersonal skills are necessary, as you will be required to effectively present technical information to various stakeholders, build and maintain relationships with internal and external partners, and collaborate with senior executives to provide IT infrastructure insights and recommendations. A minimum of 15 years of experience in servers, endpoints, and other Infra applications is required, along with a bachelor's degree in Information Technology, Computer Science, or a related field. Professional certifications such as CISSP or CCIE can enhance your credentials, and exposure to ITIL concepts and adoption is beneficial for this role.,
You will be responsible for monitoring, identifying, and resolving performance, behavior, and attendance issues within the team using prescribed techniques. Additionally, you will monitor and address personnel and disciplinary matters while providing subject matter expertise to Quality Control Analysts. It will be your duty to ensure that the training needs of your subordinates are adequately met and to adjust to meet service level agreements under the supervision of the Operations Manager. Successfully completing all client-related training and maintaining records of the same will also be part of your responsibilities. You will be required to hold regular team meetings with direct reports and communicate process and client updates within specified timelines, keeping records of such updates. Acting as the single point of contact for assigned team members and creating a harmonious work environment will also be crucial aspects of your role. Furthermore, you will be accountable for the day-to-day functional supervision of the work group, including tasks such as work assignment, attendance monitoring, and providing input into selecting, training, developing, and conducting performance appraisals of the work group according to organizational policies and compliance requirements. To qualify for this position, you must have a minimum of 5/6 years of professional experience in Medical Coding with a specialty in Multispecialty. Experience in Client and Stakeholder Management, as well as Team Management, is essential. Additionally, you must possess a Coding Certification such as CPC, CCS, COC, or AHIMA. A graduation degree in any field will be sufficient. This role is based on a General Shift / Day Shift work schedule and requires working from the office.,
Dear Candidate, Key Responsibilities : Review and analyze denied claims related to Emergency Medicine services to determine root causes of denial. Investigate claim denials by reviewing documentation, payer policies, and coding accuracy. Communicate with insurance payers, providers, and internal departments to resolve denials efficiently. Prepare and submit appeals for denied claims with appropriate supporting documentation. Track denial trends and provide reports to management with recommendations to reduce future denials. Collaborate with coding, billing, and clinical teams to ensure accurate claim submissions. Stay updated on payer policies, Emergency Medicine coding guidelines, and industry regulations. Participate in process improvement initiatives to enhance denial management workflows. Maintain detailed records of denial cases, correspondence, and resolutions. Provide training and guidance to staff on denial prevention and best practices Share your updated CV through WhatsApp -7397647886 Please feel free to call me @7397647886 Regards, Rumal