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Job Description
Structured overview of role & requirementsAbout This Role
Investigate and resolve complex insurance claim denial issues, including leading escalated payer calls and disputes.
Analyze denial trends to identify process improvement areas and develop strategies to reduce denial rates and improve reimbursements.
Prepare and submit appeals for denied claims and collaborate with internal teams to address root causes of denials.
Minimum Requirements
Must work onsite in Vadodara office, 5 days/week, night shift: 6:30pm-3:30am IST; remote applicants not considered.
Associate degree in healthcare administration or related field preferred.
Proficiency in medical billing software and denial tracking systems mandatory.
Work Experience Required: Not explicitly mentioned in the JD.
Ideal Candidate Profile
Experienced in handling insurance claim denials and skilled at negotiating claim resolutions with payers.
Strong analytical skills focused on data accuracy, denial trend analysis, and process improvement.
Capable of working independently with leadership skills to manage escalated issues and coordinate with multiple stakeholders.