Senior Analyst: First Level Appeals Job in Gurgaon at Commure India Private Limited

Commure India Private Limited is hiring for the role of Senior Analyst: First Level Appeals!

Responsibilities of the Candidate:

• Track Appeal Status: Monitor the progress of submitted appeals, follow up as necessary, and ensure timely resolution.
• Maintain Records: Accurately document all appeal activities, outcomes, and communications in the company’s system.
• Identify Trends: Analyse denial patterns and provide feedback to improve claim submission processes and reduce future denials.
• Compliance: Ensure all appeals and related activities comply with relevant regulations, policies, and guidelines

Requirements:

• Education: Bachelor's degree in healthcare administration, business, or a related field. Equivalent experience may be considered.
• Experience: Minimum of 2 years of experience in medical billing, claims processing, or appeals management within an RCM environment.
• Strong understanding of healthcare billing, coding, and reimbursement processes.
• Excellent analytical and problem-solving skills.
• Ability to interpret and apply complex regulations and guidelines.
• Proficient in using healthcare management software and databases.
• Strong written and verbal communication skills.
• Detail-oriented with strong organisational skills.
• Ability to work independently and as part of a team.