Denials Specialist

  • icon job experience 1 - 7 Years
  • icon job opening 5 Openings
  • icon salary 3.0-7.0 Lac/Yr
  • icon job location Gurgaon
  • icon job posting Posted 6 days ago

Job Description

We seek an experienced and highly motivated Denials Specialist to join our team. The Denials

Specialist will be responsible for handling denied claims, making outbound calls to insurance

payers, and resubmitting corrected claims. The ideal candidate should possess excellent

communication and problem-solving skills, have a strong understanding of medical billing and

coding, and be well-versed in denial management and appeals processes.

Role & responsibilities

Denial Identification and Analysis: Identify, categorize, and analyze denials and

underpayments from Explanation of Benefits (EOBs) and Electronic Remittance Advice

(ERAs).

Claim Resubmission and Appeals: Correct and resubmit denied claims, or prepare and

submit appeals following payer guidelines and timelines.

Payer Communication: Communicate with insurance companies to resolve issues leading

to denials and ensure accurate reimbursement.

Preventative Action: Review denial trends and work with other RCM teams to implement

processes that can prevent future denials.

Experience in analyzing and resubmitting Denials in multiple specialities (Denials due to

Medical Coding, Authorisation, etc).

Preferred candidate profile

1-6 years of prior experience in denials management, healthcare billing, or a related role.

Strong understanding of medical billing processes payer requirements and CARC/RARC

codes.

Excellent problem-solving and negotiation skills.

Detail-oriented with strong analytical skills.

Excellent communication skills, both written and verbal.

Proficiency in using healthcare billing software and Microsoft Office Suite

Experience : 1 - 7 Years

No. of Openings : 5

Education : Any Bachelor Degree

Role : Denials Specialist

Industry Type : Hospitals / Medical / Healthcare Equipments

Gender : [ Male / Female ]

Job Country : India

About StaffHire Solutions

StaffHire Solutions, the primary employment agency we represent, is situated in Hyderabad, Telangana, and provides each individual with the best opportunities. We create real talent and use it in the fields and organisations where it will thrive.



We are a cautious placement consultant who strives to satisfy each person's requirements for locating employment. We support you in your efforts to get your dream job.



We take pleasure in being a business that is dedicated to helping people advance in their careers and helping businesses succeed via the recruitment of excellent talent. We are dedicated to providing a good client experience and have high expectations for the success of every candidate.



We set ourselves apart from other consultants in India by giving applicants the best and assisting them in locating amazing workplaces.



We will handle the work of locating the greatest professional prospects, and the candidate may count on that. We will give them all the materials needed for the application interview requirements.



Our Team:


Top-notch technology, professionalism, an integrated system, and a strong infrastructure are required to work with companies and candidates. As a result, we are dedicated to continually improving and funding the aforementioned resources.



Our team of professionals is dedicated to helping our respected clients and candidates and supporting them in achieving their mutual short- and long-term demands and goals. As a team, we prioritise the demands of the client rather than putting them last and give more thought to how the customer's objective may be achieved with the assistance of others and digital push.


Read More...

Register to Get Relevant Jobs

Get Noticed By Top Recruiters

Become a Premium Job Seeker

  • Higher Boosting
  • Resume Highlighter
  • Verified Stamp
  • Resume Exposure

499/- for 3 months

Pay Now

Similar Jobs

Ar Caller

Rsb System Pvt Ltd

  • Experience 0 - 1 yrs
  • Location Gurgaon
Medical BillingCharge EntryPayment PostingDenial Managementgood English communicationAr Caller

Ar Caller

Rsb System Pvt Ltd

  • Experience 0 - 1 yrs
  • Location Gurgaon
Medical BillingCharge EntryPayment PostingDenial Managementgood English communication

Hiring US Healthcare Ar Caller

VR TalentHunters

AR CallingRevenue Cycle ManagementDenial ManagementTYPING SKILLSStrong Communication Skills

Urgent Hiring Us Healthcare

VR TalentHunters

AR CallingDenial ManagementAr Executive

URGENT HIRING US HEALTHCARE

VR TalentHunters

AR CallingDenial ManagementAr Executive

Us Healthcare Associate

VR TalentHunters

Revenue Cycle ManagementDenial ManagementAR Callingar

Ar Caller / Medical Billing Us Healthcare

VR TalentHunters

Revenue Cycle ManagementAr CallerDenial ManagementClaim Management

Ar Associate Us Healthcare Provider

VR TalentHunters

Ar CallingRevenue Cycle ManagementDenial Management

Hiring US Healthcare Ar Caller

VR TalentHunters

AR CallingRevenue Cycle ManagementDenial ManagementTYPING SKILLSStrong Communication Skills

Us Healthcare Associates

VR TalentHunters

Revenue Cycle ManagementDenial ManagementAR Calling

URGENT HIRING US HEALTHCARE

VR TalentHunters

AR CallingDenial ManagementAr Executive

Ar Caller / Medical Billing US Healthcare

VR TalentHunters

  • Experience 1 - 5 yrs
  • Salary 4.3 Lac/Yr
  • Location Gurgaon
Ar CallerRevenue Cycle ManagementDenial ManagementMedical Billing

US HEALTHCARE BPO

VR TalentHunters

  • Experience 1 - 4 yrs
  • Salary 4.5 Lac/Yr
  • Location Gurgaon
Ar CallerRevenue Cycle ManagementDenial ManagementStrong Communication Skills

Ar Caller Us Healthcare

VR TalentHunters

  • Experience 1 - 4 yrs
  • Salary 4.3 Lac/Yr
  • Location Gurgaon
Ar CallerRevenue Cycle ManagementDenial ManagementClaim Management

AR / SENIOR AR CALLER US HEALTHCARE

VR TalentHunters

  • Experience 1 - 4 yrs
  • Salary 4.5 Lac/Yr
  • Location Gurgaon
AR CallingRevenue Cycle ManagementDenial Management

Denials Specialist jobs near by Locations

Related Job Openings

top