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.
The Senior Denial Analyst additionally handles complex denials, payer escalations, trend analytics, and denial prevention strategy.
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.
Pay: ₹18,000.00 - ₹30,000.00 per month
Benefits:
- Paid sick time
- Provident Fund
Work Location: In person
