Job Summary

The Correspondence Specialist manages inbound and outbound written communication related to billing, denials, appeals, refund requests, and payer inquiries. This role ensures timely, accurate responses to insurance companies, patients, and regulatory agencies while maintaining HIPAA compliance.

Qualifications

2–3 years in hospital billing/denial management

Strong written communication skills

Knowledge of Medicare appeal levels and payer dispute processes

Familiarity with CARC/RARC codes

Key Responsibilities

Inbound Correspondence Management

Review and categorize incoming mail:
Denial letters

Medical record requests

Refund requests

Additional Documentation Requests (ADR)

Appeal determinations

Log and route correspondence to appropriate team (AR, Denials, Refunds).

Outbound Correspondence

Draft and send:
Appeal letters

Medical record submissions

Reconsideration requests

Timely filing dispute letters

Ensure documentation supports payer policies and CMS guidelines.

Medical Record Coordination

Coordinate with HIM department for record retrieval.

Ensure records are submitted within payer deadlines.

Track submission confirmation.

Payer Communication

Respond to payer audits and document requests.

Monitor appeal deadlines and follow-up timelines.

Track appeal outcomes and update billing system.

Documentation & Tracking

Maintain correspondence log with:
Date received

Deadline

Assigned owner

Status

Ensure SLA compliance.

How to Apply

Interested candidates can send your portfolio with updated CV and a brief cover letter to [email protected] with the subject line “ Correspondence Specialist – Revenue Cycle ” .

About SolvEdge

Solvedge: Pioneering the Future of Digital Healthcare

Our Expertise





SOLVEDGE stands at the forefront of digital healthcare innovation as a premier healthcare performance company. With over 18 years of dedicated service in the healthcare industry, we specialize in a digital care journey platform that revolutionizes how hospitals and health systems engage, monitor, and connect with patients throughout their healthcare experiences. Our partnership with Fortune 100 medical device companies and hospitals nationwide underscores our position as a trusted partner in healthcare solutions.

Key Features of SOLVEDGE

Our platform is designed to empower healthcare providers with the tools they need to automate and streamline care delivery, thereby improving clinical outcomes and patient satisfaction:

Personalized Care Plans: Leveraging evidence-based data, SOLVEDGE delivers digital care plans customized to meet the individual needs and conditions of each patient.

Real-Time Patient Monitoring: Through daily health checks, assessment, surveys, and integration with wearable devices, our platform facilitates continuous monitoring of patient health.

Automated Care Delivery: We automate essential tasks, including appointment scheduling, sending reminders, and delivering educational content, to enhance patient engagement and reduce administrative tasks.

Remote Patient Monitoring: Healthcare providers can monitor vital signs, symptoms, and treatment plan adherence remotely, enabling timely interventions and proactive care management.

The SOLVEDGE Advantage





Our platform offers significant advantages to healthcare providers and patients alike:

Improved Clinical Outcomes: By facilitating more effective care pathways and enabling early intervention, SOLVEDGE contributes to reduced readmission rates, fewer emergency department visits, and shorter hospital stays.

Enhanced Patient Satisfaction: Patients enjoy a higher quality of care with SOLVEDGE, benefiting from improved communication, comprehensive education, and continuous support.

Cost Savings: Healthcare organizations can achieve substantial cost reductions by minimizing unnecessary readmission, emergency visits, and complications associated with poor care management.

Applications and Impact: SOLVEDGE’s versatility allows for its application across various aspects of healthcare, with a particular emphasis on surgical care. From preparing patients for surgery to monitoring their post-operative recovery, our platform ensures a seamless and supportive care journey. Beyond surgical care, our focus encompasses managing care pathways, enhancing patient engagement through patient-reported outcomes, providing advanced data analytic, integrating with electronic medical records (EMR), and streamlining billing processes. Our comprehensive approach addresses the myriad challenges faced by today’s healthcare industry, backed by our commitment to excellence in service, communication, and customer experience.

A Trusted Partner in Healthcare Innovation: Our strategic relationships and deep understanding of healthcare challenges have positioned us as an indispensable ally to healthcare providers nationwide. As we continue to develop innovative solutions, our goal remains unchanged: to simplify healthcare delivery, improve patient outcomes, and enhance the overall patient experience.

📌 Correspondence Specialist – Revenue Cycle (India)
🏢 SolvEdge
📍 India