The Denial Analyst is responsible for analyzing, researching, and resolving denied claims for medical billing. This role requires a detailed understanding of insurance policies, coding guidelines, and the revenue cycle process. The Denial Analyst will work closely with the billing department, insurance companies, and healthcare providers to ensure claims are processed and paid correctly.
Key Responsibilities:
Analyze and interpret denial reasons, ensuring that claims are resubmitted correctly or appealed as needed and Track trends in denials and work to resolve systemic issues causing rejections.
Prepare and submit appeals for denied claims, ensuring that all required documentation is included and meets insurance requirements and Monitor the status of appeals and follow up.
Understanding of ICD-10, CPT, and HCPCS codes for billing.
Stay up-to-date on changes to billing codes, payer policies, and healthcare regulations.
Minimum of 2 years of experience in medical billing, claims processing, or healthcare revenue cycle management.
Experience in managing denied claims and understanding payer-specific guidelines.
Proficiency in healthcare billing software and claim management systems (e.g., Epic, Cerner, Meditech, or similar platforms).
Experience with payer-specific rules, regulations, and appeal procedures
Knowledge of Medicare, Medicaid, and commercial insurance policies
Familiarity with HIPAA compliance standards and confidentiality protocols.
Required Experience, Skills and Qualifications
Education:
Any graduate
Function:
Health Care
Skills:
Must have knowledge in Denials.
Experience:
Minimum 2 - 3 years.
Salary: Not a constraint for the right candidate
Job Type: Full-time
Pay: ?18,000.00 - ?28,000.00 per month
Benefits:
Flexible schedule
Health insurance
Provident Fund
Schedule:
Day shift
Morning shift
Supplemental Pay:
Performance bonus
Ability to commute/relocate:
Chennai, Tamil Nadu: Reliably commute or planning to relocate before starting work (Required)
Experience:
total work: 2 years (Preferred)
Work Location: In person
Expected Start Date: 12/07/2025
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