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Hiring for Denial Management

1.00 to 5.00 Years   Hyderabad   06 Feb, 2023
LAUNCHIO CONSULTING PRIVATE LIMITED
Job LocationHyderabad
EducationNot Mentioned
SalaryRs 3.0 - 5 Lakh/Yr
IndustryBPO / Call Center
Functional AreaAllied Health Services
EmploymentTypeFull-time

Job Description

    Hiring for AR Caller ( Denial management in Hyd)in an American multinational information technology services and consulting company.Review adjudicated claims for accuracy and final resolutionIssue adjusted, corrected, and/or rebilled claims to insurance companiesReview and analyze claims denials to perform the appropriate appeals necessary for reimbursementSend out insurance appeal in a timely manner and follow up with insurance to ensure receipt and processingCommunicates directly with the payor, resubmits denied claims, underpaid claims or inaccurately processedIdentifies, documents, and communicates trends in recurring denials and recommends process improvements or system edits to eliminate future denialsResponsible for Medicaid audits for additional documentationReviews monthly system report for leadership teamPrepares an analytical summary report identifying areas of concern by dollar amount, volume and new denialsTracks improvement of targeted denials once process or system edits have developed to reduce/prevent future denialsWork with all areas of the department to assure maximum productivityProvide extra resource when needed within the departmentPerforming other related duties or special projects as assigned.Writes reports clearly and concisely, demonstrating the ability to integrate insights, organize materials and address objectives.Other duties as assigned or determined by program proceduresMinimum 1 Year of Experience in Denial Management.Notice Period -immediate joinerCTC upto 5 LPA.Work from office Role.US Shifts.2 Way Cabs.

Keyskills :
ar callingdenialsclaimsdenial managementrcm

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