Opening for Medical Billing (Claim Adjudication) - Healthcare Domain

Opening at HCLTech for US Healthcare (Non-Voice) Chennai

Experience: 2 to 4 Years

Specification: Excellent Verbal and Written Communication Skills, Revenue Cycle Management, Denial Handling, AR Calling, US Healthcare, Medical Billing, RCM, authorization, timeline fine limits, non-covered services, Denied patient ineligible

Job Description

• Review and analyze denied claims to identify root causes and trends.
• Develop and implement strategies to reduce claim denials and improve reimbursement rates.
• Work closely with insurance companies, healthcare providers, and internal teams to resolve denied claims.
• Prepare and submit appeals for denied claims, ensuring all necessary documentation is included.
• Monitor and track the status of appeals and follow up as needed.
• Maintain accurate records of all denial management activities and outcomes.
• Provide regular reports on denial trends, appeal success rates, and other key metrics to management.
• Stay updated on industry regulations and payer policies to ensure compliance.

Looking for candidate with an immediate joiner. Mandatory Documents:

• Updated Resume
• EPFO Service History
• Complete set of offer letters and relieving letters from all previous employers

Note: HCL conducts a stringent background verification (BGV) process. Candidates will not be able to proceed without submitting all required documents.