Denials Specialist
Ensemble Health Partners
Location: Hyderabad
About Company
Ensemble Health Partners is a leading healthcare revenue cycle management (RCM) company supporting hospitals and healthcare systems across the United States. Its Hyderabad Global Capability Center delivers high-quality revenue cycle operations across medical billing, claims management, denials, coding, collections, and payment processing while maintaining strong compliance and operational excellence.
Job Roles & Responsibilities
- Review denied insurance claims, remittance advice, and payer correspondence to identify denial reasons and determine the appropriate resolution.
- Follow up with commercial and government insurance payers to resolve denied or underpaid claims and ensure timely reimbursement.
- Prepare, submit, and track appeals by gathering supporting documentation and correcting claim information where required.
- Investigate payment discrepancies, identify root causes of denials, and recommend corrective actions to reduce recurring issues.
- Maintain accurate documentation of all payer interactions while consistently meeting productivity, turnaround time, and quality standards.
Ideal Candidate Profile
- Bachelor's degree in any discipline.
- 1–3 years of experience in U.S. Healthcare Revenue Cycle Management, preferably in Denials Management, Accounts Receivable, Medical Billing, or Claims Processing.
- Strong understanding of denial management, payer follow-up, appeals, Medicare, Medicaid, commercial insurance, and healthcare billing workflows.
- Familiarity with EOBs, ERA, remittance advice, claim status inquiry, denial codes, and revenue cycle terminology.
- Excellent communication, analytical, and problem-solving skills with the ability to work from the Hyderabad office.
What We Offer
- Opportunity to work with one of the leading healthcare revenue cycle organizations supporting major U.S. healthcare providers.
- Exposure to end-to-end denial management, appeals, claims resolution, quality initiatives, and healthcare operations at scale.
- Collaborative work environment with career growth opportunities across revenue cycle management, operations, quality, and leadership functions.
Hiring Process
Flexiple Interview Profile Review Client Interview 1 Client Final Interview
Applications are being reviewed this week. Apply today to be included in the first round of interviews.
We are shortlisting candidates within 24–48 hours — apply now to be considered.
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