JOB DESCRIPTION:

The Denial Analyst is responsible for identifying, analysing, resolving, and preventing insurance claim denials to maximize reimbursement and protect revenue integrity. The role involves payer communication, root cause analysis, appeals preparation, and trend reporting.

The Senior Denial Analyst additionally handles complex denials, payer escalations, trend analytics, and denial prevention strategy.

JOB OBJECTIVE:

Core Responsibilities (Process Associate Denial Analyst)

1. Review and analyse denied claims (EOB/ERA).
2. Identify denial reason codes CO, PR, OA, PI).
3. Classify denials accurately (coding, eligibility, medical necessity, timely filing, etc.).
4. Prepare and submit appeals with supporting documentation.
5. Follow up with payers via portal/phone.
6.



Refile corrected claims when applicable.
7. Track appeal deadlines and ensure timely submission.
8. Document actions clearly in PM system.
9. Meet daily productivity and resolution targets.
10. Escalate complex or recurring denials to supervisor.

Walkin- 11.00 am to 3.00 pm (Monday to Friday)

Contact Details:

Contact Name: Dhanalakshmi

Contact Number: 98845 15556

Email ID: [email protected]

Company Name: Zenmed Solution Pvt Ltd

Address:No 55, 1st floor, Seshachalam Street, Periyapet, Saidapet, Chennai, Tamil Nadu 600015.

📌 Denial analyst (Chennai)
🏢 Zenmed Solutions
📍 Chennai