We are seeking a Denial Management Specialist to join our team in Andhra Pradesh. The ideal candidate will play a crucial role in managing and resolving claims denials, ensuring that our organization maximizes revenue and maintains strong relationships with payers. This position requires a detail-oriented individual who can analyze denial trends, identify root causes, and implement effective solutions to reduce future denials.

Key Responsibilities

- Review and analyze denied claims to determine the reasons for denial.

- Collaborate with internal teams to gather necessary documentation and information to support appeals.
- Prepare and submit appeals to payers in a timely manner, ensuring compliance with all regulations.
- Monitor and track the status of appeals and follow up as necessary.
- Identify trends in denials and work with management to develop strategies to address these issues.




- Maintain accurate records of all denial management activities and outcomes.
- Provide training and support to staff on best practices for preventing denials.

Required Skills

- Strong understanding of denial management processes and healthcare billing.
- Excellent analytical and problem-solving skills.
- Proficient in using healthcare management software and Microsoft Office Suite.
- Strong communication skills, both written and verbal.
- Ability to work independently and as part of a team. If you are a motivated individual with a passion for improving healthcare revenue cycle processes, we encourage you to apply for this exciting chance. Join us in making a difference in the healthcare industry by ensuring that our services are compensated fairly and efficiently.

This job is provided by Shine.com

📌 Denial Management Specialist (Hyderabad)
🏢 Lyros Technologies-CMMI Level 3
📍 Hyderabad