Senior Analyst - Denial Management Job in Gurgaon at Commure India Private Limited

Commure is hiring for the role of Senior Analyst - Denial Management!

Responsibilities of the Candidate:

• Denial Identification and Analysis: Identify, categorize, and analyze denials and underpayments from Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs).
• Claim Resubmission: Correct and resubmit denied claims 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).

Requirements:

• 1-3 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.