Mega Walkin for VOICE PROCESS- US Healthcare

Mega Walkin for Voice Process- US HEALTHCARE // 24th & 25th JunELIGIBILITY:1 to 6 years of experienceExcellent communication skillsExperience in out bound and inbound callsExperience in Healthcare domainPreferably immediate joiners Work Location: Sholinganallur ELCOT Chennai.Interview Mode: Face to Face InterviewTime: 11:00 AM till 2 PMInterview Venue: HCL TECH, Tower 4, Sholinganallur ELCOT campus Chennai-119HR Person: JOYSRICandidates are requested to bring 2 copied of updated resumeShift: Rotational Shift/ US ShiftWork Location: Sholinganallur/NavallurRole & responsibilities:* Denial Identification and Analysis: Identify, categorize, and analyze denials and underpayments from Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs).- Claim Resubmission and Appeals: Correct and resubmit denied claims, or prepere and submit appeals following payer guidelines and timelines.* Payer Communication: Communicate with insurance companies to resolve issues leading to denials and ensure accurate reimbursement.* Preventative Action: Review denial trends and work with otherRCM teams to implement processes that can prevent future denials.* Experience in analyzing and resubmitting Denials in multiple specialties (Denia s due to Medical Coding, Authorisation, etc).Preferred candidate profile* 1-5 years of prior experience in denials management, healthcare billing, or a related role.* Strong understanding of medical billing processes payer requirements and CARC/RARC codes,• Excellent problem-solving and negotiation skills.• Detail-oriented with strong analytical skills.- Excellent communication skills, both written and verbal.- Proficiency in using healthcare billing software and MicrosoftOffice Suite. PRB