INTIGNIZ Solutions Pvt. Ltd.
Website:
intignizsolutions.com
Job details:
🚨 WE ARE HIRING – DENIALS ANALYST | MULTISPECIALTY
We are looking for experienced Denials Analysts with strong hands-on experience in multispecialty US Healthcare RCM.
🔹 Key Responsibilities
• Review and analyze denied insurance claims across multiple specialties, including:
E&M, Surgery, Radiology, Laboratory, Pathology, Emergency Medicine, Anesthesia, and Ancillary Services.
• Validate ICD-10-CM, CPT, HCPCS, and Modifier usage based on medical documentation and payer guidelines.
• Identify and work on various denial types, including:
➡️ Medical Necessity
➡️ Coding-related denials
➡️ Bundling/Unbundling
➡️ Modifier-related denials
➡️ Duplicate Claims
➡️ Timely Filing
• Perform coding corrections and resubmit claims when applicable.
• Prepare and support appeals with accurate coding rationale and required documentation.
• Conduct Root Cause Analysis (RCA) to identify recurring denial trends and support process improvement.
• Athena experience is an added advantage.
🔹 Candidate Requirements
✅ 3–4 years of relevant Denials experience
✅ Strong hands-on experience in all the above-mentioned specialties is mandatory
✅ Good knowledge of US Healthcare RCM, medical coding, claims, denials, and appeals
✅ Strong knowledge of ICD-10-CM, CPT, HCPCS & Modifiers
📍 Location: Chennai
💼 Experience: 3–4 Years
🕒 Shift: Day Shift
Travel Allowance 3500
📩 Interested candidates can share their updated resumes / DM for details.
(sowjanya.bhimavarapu@intignizsolutions.com)or call 📞 9490092487
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