Key Responsibilities: • Claim Review: Analyze and review denied claims, identify denial trends, and
determine reasons for denials.
• Appeal Preparation: Prepare and submit appeals for denied claims, ensuring
the inclusion of all required documentation.
• Follow-Up: Conduct timely follow-up on outstanding claims and appeals,
ensuring prompt resolution and payment.
• Claim Review: Work closely with supervisors, the denials team, insurance
companies, and internal departments to resolve denied claims efficiently.
• Documentation: Maintain accurate records of denied claims, appeals, and
resolutions in the billing system.
• Regulatory Compliance: Stay updated on healthcare regulations, insurance
policies, and payer requirements to ensure compliance and prevent future
denials.
• Reporting: Generate detailed reports on denial trends and recovery rates,
providing insights for process improvements.
• Issue Resolution: Identify issues leading to underpayments and take corrective




actions to ensure accurate billing and revenue recovery.
Qualifications:
• Education: Bachelor’s degree in Healthcare Administration, Business, or a
related field.
• Experience: A minimum of 5 years of industrial experience in hospital billing,
denials management, and claims follow-up.
• Skills:
o Robust analytical and problem-solving abilities.
o Proficient in billing software and Microsoft Office Suite, particularly Excel
and Word.
o Familiarity with medical terminology, CPT, ICD-10 coding, and payer
policies.
o Excellent verbal and written communication skills.
o Strong attention to detail and ability to work independently.
• Experience: Proven experience in hospital billing and denial management with
an understanding of healthcare regulations and insurance policies Notice Period - Immediate to 30 days.

📌 AR callers-Hospital billing (Chennai)
🏢 People First Consultants
📍 Chennai