Specialist, Denials (Hyderabad)

Specialist, Denials (Hyderabad)

06 Sep
|
Ensemble Health Partners, India
|
Hyderabad

06 Sep

Ensemble Health Partners, India

Hyderabad

Thank you for considering a career at Ensemble Health Partners India

Ensemble Health Partners - The single solution for a frictionless revenue cycle with the purpose of redefining the possible in healthcare by empowering people to be the difference. Our India Office is an extension of Ensemble’s team and culture designed to augment and enhance our talent and skill base in Revenue Cycle Management in addition to our long-standing presence in technology. Leveraging our platform of services, technology, business intelligence and analytics, our teams are creating and maintaining innovative products and systems to help our revenue cycle operators achieve the most efficient, ideal outcomes for our clients. Our teams are certified in revenue cycle best practices and are supporting end-to-end RCM operations. We are at the forefront of innovation using cutting-edge technology to drive meaningful impact in the Revenue Cycle Management landscape. As a leading player in the industry, we offer an environment that fosters growth, creativity, and collaboration,



where your expertise will be valued, and your contributions will make a difference.

The Prospect:

The Denials Specialist is responsible for managing and resolving insurance claim denials to ensure accurate reimbursement and maintain revenue integrity. This role involves analyzing denial reasons, coordinating appeals, and collaborating with internal teams to correct errors and resubmit claims. The position requires solid knowledge of payer guidelines, medical coding, and healthcare regulations. Denial Review & Analysis: Investigate reasons for claim denials, review account notes and medical records, and determine corrective actions. Appeals Management: Prepare and submit detailed appeal letters to payers, ensuring compliance with payer guidelines and deadlines. Collaboration: Work with billing teams, coders, and clinical staff to correct errors and resubmit claims promptly. Trend Identification: Monitor denial pattern

📌 Specialist, Denials (Hyderabad)
🏢 Ensemble Health Partners, India
📍 Hyderabad

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