Medical Billing Specialist

We are looking for a skilled and proactive Denial Management Specialist to join our RCM operations team in Delhi. The ideal candidate will be responsible for identifying, analyzing, and resolving insurance claim denials to maximize reimbursement and minimize revenue leakage for our U.S. healthcare clients.

Key Responsibilities:

• Review and analyze denied claims received from payers (commercial, Medicare, Medicaid).
• Identify root causes of denials and initiate corrective actions (re-billing, appeals, or adjustments).
• Work with coding, billing, and AR teams to ensure clean claim submissions.
• Draft and submit effective appeal letters and supporting documentation as per payer guidelines.
• Maintain accurate documentation of denial trends, resolution status, and follow-ups.
• Coordinate with clients or provider offices to obtain missing or corrected information.
• Ensure timely turnaround on denied claims to meet AR and collection targets.
• Stay current on payer policies, coding updates, and industry regulations (HIPAA, CMS).
• Generate denial reports and contribute to denial trend analysis for process improvements.

Job Type: Full-time

Pay: ₹35,000.00 - ₹55,000.00 per month

Benefits:

• Paid time off
• Provident Fund

Schedule:

• Day shift
• Monday to Friday
• Night shift
• US shift

Application Question(s):

• Please confirm Notice Period

Work Location: In person

Expected Start Date: 01/07/2025