Hiring For Denial Management Specialist

Roles and Responsibilities

• Manage denial management processes to minimize claim rejections and optimize revenue cycle management (RCM).
• Conduct thorough reviews of patient accounts, identifying potential issues and implementing corrective actions to prevent future occurrences.
• Collaborate with internal teams, including billing, coding, and customer service to resolve complex claims disputes.
• Analyze data trends and develop strategies to improve denial rates and reduce write-offs.
• Ensure compliance with regulatory requirements and industry standards for RCM best practices.

Desired Candidate Profile

• 1-2 years of experience in US healthcare or related field, preferably in AR calling, EHR systems, or RCM roles.
• Strong understanding of medical billing principles, ICD-10 codes, CPT codes, HCPCS level II codes, anatomy & physiology.
• Excellent communication skills for effective collaboration with customers/patients over phone calls.

Role: Medical Biller / Coder

Industry Type: Analytics / KPO / Research

Department: Healthcare & Life Sciences

Employment Type: Full Time, Permanent

Role Category: Health Informatics

Education

UG: Any Graduate