Denial Management Executive Job in Sunknowledge Services Inc.

Job Description:

~ Analysis of individual contract terms and reimbursement

~ Tracking and trending of denial issues

~ Documentation of Denials

~ Action on Denials and follow-up on Appeals

~ Preparation and submission of Appeals with supporting documents

~ Assure all discussions and appeals are filed timely within specific guidelines

~ Make management aware of any issues or changes in the billing system, insurance carriers and/or networks

~ Supporting the Supervisor and Manager, as needed

Desired Profile:

~ 6-12 months of experience in denial handling

~ Should have thorough knowledge of the end-to-end US medical billing process

~ Good communication & interpersonal skills

~ Critical thinker with demonstrated ability to perform root cause analysis and problem solving skills

~ Willing to work in 24/7 environment

~ An inherent quality of being a good team player with zeal to succeed

~ Should be available to join ASAP

Other Details:

Process: US healthcare. 5 days working & 2 days weekly off.

Please note that it is a backend process.

To Apply:

If you have specific commercial experience in a similar role please email your CV, covering letter and links to relevant work examples to

[email protected]