Denial Coding / Multi specialty

From 2 to 4 year(s) of experience
₹ Not Disclosed by Recruiter

Job Description

Roles and Responsibilities:

  • Review adjudicated claims for accuracy and final resolution
  • Issue adjusted, corrected, and/or rebilled claims to insurance companies
  • Review and analyze claim denials to perform the appropriate appeals necessary for reimbursement
  • Send out insurance appeal in a timely manner and follow up with insurance to ensure receipt and processing
  • Communicates directly with the payor, resubmits denied claims, underpaid claims or inaccurately processed
  • Identifies, documents, and communicates trends in recurring denials and recommends process improvements or system edits to eliminate future denials
  • Prepares an analytical summary report identifying areas of concern by dollar amount, volume and new denials
  • Tracks improvement of targeted denials once process or system edits have developed to reduce/prevent future denials
  • Work with all areas of the department to assure maximum productivity
  • Provide extra resource when needed within the department
  • Performing other related duties or special projects as assigned.
  • Writes reports clearly and concisely, demonstrating the ability to integrate insights, organize materials and address objectives.

Desired Candidate Profile:

  • 2 + years experience in related field or comparable combination of education and experience.
  • Knowledge of the current healthcare climate, including managed care developments, HIPAA standards and governmental program regulations
  • Knowledge of current coding practices in regards to billing and processing of Explanation of Benefits. Insure that proper reimbursement has been received
  • Excellent oral and written communication skills
  • Ability to use a Windows based computer system and common business software found in Microsoft Suite (Excel, PowerPoint, Outlook etc.)
  • Ability to work independently to effectively and efficiently perform assigned duties
  • Ability to manage multiple priorities and deadlines

Venue: 5th Floor D Block, Hanudev Info Park, Hindusthan Arts College Road, Nava India, Coimbatore - 641028.

Interested candidate can contact Surya - 9087793656

Role:Medical Biller / Coder

Salary: Not Disclosed by Recruiter

Industry:Medical Services / Hospital

Functional AreaHealthcare & Life Sciences

Role CategoryHealth Informatics

Employment Type:Full Time, Permanent

Key Skills
Skills highlighted with ‘‘ are preferred keyskills


UG:B.Sc in Bio-Chemistry, Biology, Microbiology, Botany, Nursing, Chemistry, Physics, Zoology,B.Tech/B.E. in Bio-Chemistry/Bio-Technology,B.Pharma in Any Specialization

PG:M.Tech in Bio-Chemistry/Bio-Technology, Biomedical,M.Pharma in Any Specialization,Medical-MS/MD in Bio-Physics, Cardiology, Pathology, Immunology, Microbiology, Radiology, Bio-Chemistry,MS/M.Sc(Science) in Bio-Chemistry, Biology, Microbiology, Botany, Nursing, Chemistry, Physics, Zoology

Company Profile

QBSS Healthcare

From Quintessence Business Solutions & Services (QBSS)

"Quintessence is a US healthcare Revenue cycle management company. We are all about creating outcome shoring partnerships with our Medical billing and coding services. Our value addition to businesses is by easing the process of end-to-end revenue cycle by minimizing process errors with automating a wide range of services. We have customized tools and BOTS for faster eligibility verification, payment reconciliation, denial capture, also implementing RPA to repetitive data entry activities and improve coding accuracy with our computer assisted coding engine."


Company Info
View Contact Details+

Contact Company:QBSS Healthcare

Address:Venue: 5th Floor D Block, Hanudev Info Park, Hindusthan Arts College Road, Nava India, Coimbatore - 641028.