Company Description BETSOL is a cloud-first digital transformation and data management company offering products and IT services to enterprises in over 40 countries BETSOL team holds several engineering patents is recognized with industry awards and BETSOL maintains a net promoter score that is 2x the industry average BETSOL s open-source backup and recovery product line Zmanda Zmanda com delivers up to 80 savings in total cost of ownership TCO and best-in-class performance BETSOL Global IT Services BETSOL com builds and supports end-to-end enterprise solutions reducing time-to-market for its customers BETSOL offices are set against the vibrant backdrops of Broomfield Colorado and Bangalore India We take pride in being an employee-centric organization offering comprehensive health insurance competitive salaries 401K volunteer programs and scholarship opportunities Office amenities include a fitness center cafe and recreational facilities Learn more at betsol com Key Responsibilities End-to-end follow-up on insurance claims via phone calls and or payer portals Analyze and resolve denials and rejections received from payers CARC RARC codes interpretation Perform root cause analysis and take corrective action for recurring denial trends Ensure timely re-submission appeals and escalations for denied claims Maintain accurate documentation of all activities performed in the billing system Meet daily weekly and monthly productivity and quality benchmarks Collaborate with billing coding and patient access teams to fix front-end issues causing denials Work on denial worklists aging reports and assigned inventory efficiently Maintain up-to-date knowledge of payer policies regulatory changes and industry best practices Provide feedback to Team Leads Supervisors on process gaps and potential improvement areas Required Skills Qualifications Minimum 2 years of experience in US Healthcare AR and Denial Management Strong understanding of medical billing terminologies CPT ICD codes and payer guidelines Hands-on experience with billing platforms Athena eClinicalWorks Epic In-Sync etc is preferred Good understanding of HIPAA compliance and patient confidentiality Strong communication skills - verbal and written especially for payer calls An analytical and problem-solving mindset to investigate and resolve complex denials Ability to work independently and collaboratively in a high-volume setting Additional Information All your information will be kept confidential according to EEO guidelines