Multi-speciality denials

A “multi-speciality denials” job description refers to a role where the primary responsibility is managing and resolving denials related to various medical specialties within a healthcare organization. This job typically involves reviewing denied insurance claims, analyzing reasons for denial, and implementing strategies to appeal or address the issues.
Key Responsibilities:
Review and Analyze Denied Claims:
Investigate reasons for denials or partial payments by analyzing insurance claims, payer correspondence, and relevant documentation.
Identify and Address Root Causes:
Evaluate trends in denials to identify recurring issues, such as incorrect coding, missing documentation, or eligibility problems.
Develop and Implement Appeal Strategies:
Formulate effective appeals, including preparing supporting documentation and arguments, and communicating with insurance companies to secure reimbursement.
Track and Monitor Denials:
Maintain records of denied claims, track the status of appeals, and report on denial trends to relevant stakeholders.

Multi-speciality denials
✨ Experience : 2 to 4 years
Certified Mandatory
📍 Chennai