Denial Management Specialist (Vadodara)

Denial Management Specialist (Vadodara)

09 Oct
|
Countrywide Medical Billing LL
|
Vadodara

09 Oct

Countrywide Medical Billing LL

Vadodara

Company: Countrywide Medical Billing LLC (CMBS)

Location: Vadodara, Gujarat (remote, Vadodara residents only)

Job type: Full-time, 3-month probation, then permanent

Shift: US hours (night shift, IST)

Salary: ₹30,000 - ₹45,000 per month, based on experience

About Us

CMBS is a US-based medical billing and revenue cycle management company serving pain management, behavioral health, and PCP, General Physician, Ancillary Clinic, Physical Therapy, Infusion center practices. We are growing our India team and looking for a skilled Denial Management Specialist.

Responsibilities

- Review, analyze, and work denied and underpaid claims to resolution
- Identify denial root causes (CO, PR, and other CARC/RARC codes) and recommend corrective actions
- Prepare and submit appeals with supporting documentation within payer deadlines
- Follow up with payers via portals and phone to resolve outstanding claims
- Correct and resubmit claims for coding, eligibility, authorization, or timely filing issues
- Track denial trends and report recurring issues to the team lead
- Maintain accurate documentation in the billing system and meet productivity and quality targets
- Follow HIPAA and company data security policies at all times

Requirements

- 2-5 years of denial management or AR follow-up experience in US medical billing
- Strong knowledge of the RCM cycle, EOBs/ERAs, CPT/ICD-10/HCPCS codes, and payer appeal processes
- Experience with US commercial payers,



Medicare, and Medicaid
- Hands-on experience with a practice management or EHR system
- Clear spoken and written English, including comfort with payer calls
- Reliable high-speed internet, power backup, and a private, quiet workspace
- Willing to work US night shifts
- Must currently reside in Vadodara

Preferred

Experience in pain management, behavioral health, or PCP, General Physician billing, Ancillary clinic, Infusion center & Physical Therapy clinic.

Experience in eCW, Tebra, Practicesuite

Employment Terms

3-month (90-day) probation period

Permanent employment confirmed based on performance during the probation period

Work from home, with company security and HIPAA requirements to be followed

Pay: ₹30,000.00 - ₹45,000.00 per month

Perks:

- Work from home

Application Question(s):

- Do you currently live in Vadodara, and can you work US night shifts from home with reliable internet and power backup?
- How many years of hands-on denial management or AR follow-up experience do you have in US medical billing?
- A claim is denied with CARC CO-50. What does it mean, and what are your next steps?
- Which payers and specialties have you worked denials for, and what is the most complex denial you resolved?
- A claim was denied for timely filing, but you have proof it was submitted on time. What do you do?

Work Location: Remote

📌 Denial Management Specialist (Vadodara)
🏢 Countrywide Medical Billing LL
📍 Vadodara

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