We seek an experienced and highly motivated Denials Specialist to join our team. The DenialsSpecialist will be responsible for handling denied claims, making outbound calls to insurancepayers, and resubmitting corrected claims. The ideal candidate should possess excellentcommunication and problem-solving skills, have a strong understanding of medical billing andcoding, and be well-versed in denial management and appeals processes.Role & responsibilities Denial Identification and Analysis: Identify, categorize, and analyze denials andunderpayments from Explanation of Benefits (EOBs) and Electronic Remittance Advice(ERAs). Claim Resubmission and Appeals: Correct and resubmit denied claims, or prepare andsubmit appeals following payer guidelines and timelines. Payer Communication: Communicate with insurance companies to resolve issues leadingto denials and ensure accurate reimbursement. Preventative Action: Review denial trends and work with other RCM teams to implementprocesses that can prevent future denials. Experience in analyzing and resubmitting Denials in multiple specialities (Denials due toMedical 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/RARCcodes. 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