Senior Analyst, Denial Management (India)
About the role
Senior Analyst role in Denials Management within a healthcare-focused organization. Responsible for identifying denied claims, contacting payers, resubmitting corrected claims, analyzing denial trends, and collaborating with RCM teams to prevent future denials.
Responsibilities
- 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).
Qualifications
- 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.
Skills
About Athelas
Extensible, Integrated Technology that Simplifies Health Systems
At Athelas, powered by Commure, our mission is to simplify healthcare. We have bold ambitions to reimagine the healthcare experience, setting a new standard for how care is delivered and experienced across the industry. Our growing suite of AI solutions spans ambient AI clinical documentation, provider copilots, autonomous coding, revenue cycle management and more — all designed for providers & administrators to focus on what matters most: providing care. Healthcare is a $4.5 trillion industry with more than $500 billion spent annually on administrative costs, and Athelas is at the heart of transforming it. We power over 500,000 clinicians across hundreds of care sites nationwide – more than $10 billion flows through our systems and we support over 100 million patient interactions. With new product launches on the horizon, expansion into additional care segments, and a bold vision to tackle healthcare's most pressing challenges, our ambition is to move from upstart innovator to the industry standard over the next few years. Healthcare's moment for AI-powered transformation is here, and we're building the technology to power it. Come join us in shaping the future of healthcare.
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