Company Name:

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Job Title

Medical Denial QA / QC

Sector

Other Service Activities

Functional Area

Human Resources

Functional Role

Fresher

Job Description

We are seeking a meticulous Medical Denial Quality Assurance (QA) / Quality Control (QC) specialist. The ideal candidate will possess strong expertise in denial management and medical billing processes, playing a critical role in reviewing and improving the accuracy of denial appeals and resolutions. This position is vital for optimizing revenue cycles and ensuring high-quality claim submissions.

Key Responsibilities

• Perform QA/QC reviews of denied medical claims to identify root causes and coding/billing errors.
• Analyze denial trends and patterns to provide actionable insights for process improvements.
• Verify the accuracy of information used in appealing denied claims, including coding, documentation, and payer-specific guidelines.
• Collaborate with AR (Accounts Receivable) teams and coders

Additional Information Total Experience (in years) 3 - 8 Job Location Tamil NaduChennai Key Skills Medical Billing, Quality Control, Denial Management, Audit, Medical Denial Nature of job Full Time Salary (₹) 400000 - 900000 Gender Preferences Any Ex-Servicemen preferred No Number of Openings 1 or more