JOB DESCRIPTION:
The Denial Analyst is responsible for identifying, analysing, resolving, and preventing insurance claim denials to maximize reimbursement and protect revenue integrity. The role involves payer communication, root cause analysis, appeals preparation, and trend reporting.
JOB OBJECTIVE:
Core Responsibilities (Process Associate – Denial Analyst)
- Review and analyse denied claims (EOB/ERA).
- Identify denial reason codes (CO, PR, OA, PI).
- Classify denials accurately (coding, eligibility, medical necessity, timely filing, etc.).
- Prepare and submit appeals with supporting documentation.
- Follow up with payers via portal/phone.
- Refile corrected claims when applicable.
- Track appeal deadlines and ensure timely submission.
- Document actions clearly in PM system.
- Meet daily productivity and resolution targets.
- Escalate complex or recurring denials to supervisor.
Walkin- 11.00 am to 3.00 pm (Monday to Friday)
- Contact Details:
- Contact Name: Dhanalakshmi
- Contact Number: 98845 15556
- Email ID: [email protected]
- Company Name: Zenmed Solution Pvt Ltd
- Address:No 55, 1st floor, Seshachalam Street, Periyapet, Saidapet, Chennai, Tamil Nadu 600015.
Pay: ₹18,000.00 - ₹30,000.00 per month
Benefits:
- Leave encashment
- Life insurance
- Paid sick time
- Provident Fund
Work Location: In person
