Sage Healthy Global Private Limited

Company: Sage Healthy LLC Location: Chennai, India Position Type: Full-time About Us: Sage Healthy LLC is a rapidly expanding US billing operation specializing in Chiropractic, Physical Therapy, and Pain Management private practices nationwide. Our mission is to optimize healthcare revenue cycles by streamlining billing processes, maximizing reimbursements, and ensuring financial health for medical professionals. Join us in revolutionizing the healthcare industry through cutting-edge technology and a commitment to excellence. Position Summary: As a Denial Management and Collections Specialist at Sage Healthy, you will play a pivotal role in ensuring the financial success of medical practices by effectively managing denials and patient collections. Your primary responsibilities will include analyzing and resolving claim denials, implementing strategies to minimize future denials, and engaging in patient collections activities. This critical role requires a keen eye for detail, strong problem-solving skills, and effective communication to maintain positive patient relationships. Responsibilities: Denial Management: Analyze and resolve claim denials promptly, identifying root causes and implementing corrective actions. Collaborate with billing and coding teams to prevent recurring denials and improve overall claims acceptance rates. Appeals and Resubmissions: Prepare and submit appeals for denied claims, providing necessary documentation to support claim reconsideration. Monitor the status of appealed claims and take appropriate actions to expedite resolution. Patient Collections: Engage in insurance collections activities, including making follow-up calls, and setting up payment plans. Provide clear communication to address inquiries regarding billing and outstanding balances. Analysis: Analysis of generated reports on denial trends, collection activities, and outstanding balances, providing insights for process improvement. Collaboration with Internal Teams: Work closely with billing, accounts receivable, and customer service teams to ensure a cohesive and effective approach to denial management and patient collections. Key Competencies: Attention to Detail: Thoroughly analyze denial reasons and patient accounts to ensure accurate and timely resolution. Communication Skills: Effectively communicate with internal teams, payors, and patients to address denials and collections inquiries. Problem-solving: Identify root causes of denials and implement proactive solutions to prevent recurrence. Requirements: Bachelors in healthcare diploma or equivalent; additional certification in healthcare administration or related field is a plus. Proven experience in denial management and patient collections within the healthcare industry. Strong knowledge of medical billing, coding practices, and insurance claim processes. Proficiency in relevant software for denial management, reporting, and collections. Qualifications: Excellent attention to detail and accuracy in data entry and documentation. Strong analytical and problem-solving skills. Effective communication skills, both verbal and written. Ability to work independently and collaboratively within a team. Compensation: Monthly payment, annual vacation, and PTO allotment. Salary commensurate with experience. Job Types: Full-time, Permanent Pay: ₹9,088.32 - ₹30,966.18 per month Benefits: Health insurance Paid sick time Paid time off Provident Fund Ability to commute/relocate: Avadi, Chennai, Tamil Nadu: Reliably commute or planning to relocate before starting work (Required) Shift availability: Night Shift (Required) Work Location: In person