Cliniqon
Website:
cliniqon.com
Job details:
Job description:
We are seeking an experienced AR & Denial Analyst to join our dynamic team at our CSEZ Kochi office. The ideal candidate will have a strong background in US Accounts Receivable (AR) and Dental Analysis, with a proven track record in reviewing, analysing, and resolving denied insurance claims. This role requires strong analytical skills, attention to detail, and a thorough understanding of payer guidelines and healthcare regulations.
Key Responsibilities:
- Review and analyse denied claims to identify root causes and common trends.
- Collaborate with internal teams to implement effective denial resolution strategies.
- Rework, appeal, and resubmit claims in accordance with payer-specific guidelines.
- Perform root cause analysis to prevent future denials and educate teams on best practices.
- Maintain up-to-date knowledge of CPT, HCPCS, ICD-10 codes, payer policies, and medical terminology.
- Track and report denial rates, trends, and resolution outcomes to drive continuous improvement.
- Ensure compliance with HIPAA and payer-specific regulations.
Desired Candidate Profile:
- Minimum 1 year of experience in US AR & Denial Analysis.
- Strong knowledge of healthcare coding systems and payer policies.
- Willingness to work in the night shift (US shift).
- Excellent analytical and problem-solving skills.
- High attention to detail with the ability to work in a fast-paced environment.
- Strong communication and collaboration skills.
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