AR Denial Management & Appeals Specialist

Vcare Call Centers India; Dadri; On-site; INR 500,000 - 800,000; Full time

Job summary

Vcare Call Centers India is seeking detail-oriented specialists in AR denial management and appeals for US healthcare denials. You will review denials, manage MR-related issues, and ensure timely filing of appeals while maintaining thorough documentation.

Proficiency in Excel and Google Sheets is essential for tracking denials, deadlines, and reporting. This is an on-site role in India requiring strong attention to accuracy and coordination with the AR team.

Qualifications

• Hands-on experience in US healthcare AR denial management.
• Knowledge of denial types, root-causes and resolution workflows.
• Experience with MR denials and documentation requirements.
• Experience with appeals management, including deadlines.

Responsibilities

• Review and manage AR denials, identify denial types and root causes.
• Handle MR denials, track required actions for resolution.
• Review appeals, maintain documentation, monitor filing deadlines.
• Upload denial letters and documents to patient records or systems.
• Create and maintain spreadsheets to track denials, actions, and deadlines.
• Prepare reports highlighting outstanding denials and follow-up actions.
• Verify patient and denial information for accuracy and accessibility.
• Coordinate with AR/operations teams to flag time-sensitive cases.

Skills

AR denial management

Root cause analysis

Attention to detail

Documentation

Communication skills

Reporting

Data accuracy

Tools

Microsoft Excel

Google Sheets

Job description

We are looking for detail-oriented AR Denial Management & Appeals Specialists with hands‑on experience in US healthcare denial management, Medical Records denials, appeals documentation, and reporting. This position requires strong knowledge of denial workflows, documentation requirements, appeals processes, and proficiency in Microsoft Excel and Google Sheets. This is a specialized role and not a regular AR calling or payment follow‑up position.

Role & responsibilities:-

• Denial Management: Review and manage AR denials, identify denial types and root causes, and understand the appropriate resolution process for each denial.
• Medical Records (MR) Denials: Handle MR-related denials, understand supporting documentation requirements, and track the actions required for resolution.
• Appeals Management: Review appeal requirements, maintain supporting documentation, track appeal status, and monitor submission deadlines to ensure timely filing.
• Document Management: Upload scanned denial letters and relevant supporting documents to the appropriate patient records or designated systems, ensuring accuracy and completeness.
• Excel & Google Sheets Tracking: Create and maintain accurate spreadsheets to track denials, pending actions, appeal status, documentation requirements, and filing deadlines.
• Reporting & Documentation: Prepare, update, and share regular reports highlighting outstanding denials, pending tasks, upcoming deadlines, and required follow‑up actions.
• Data Accuracy: Verify patient and denial‑related information before updating records and ensure all documentation is properly organized and accessible.
• Operational Coordination: Coordinate with the relevant AR or operations team to communicate pending requirements, flag time‑sensitive cases, and support action planning.

Preferred candidate profile:-

• Hands‑on experience in US healthcare AR denial management.
• Practical knowledge of denial types, root‑cause identification, and denial resolution workflows.
• Experience handling Medical Records (MR) denials and understanding documentation requirements.
• Working experience with appeals management, including supporting documents, follow‑up steps, and filing deadlines.
• Proficiency in Microsoft Excel and Google Sheets, including formulas, filters, data organization, and tracking logs.
• Experience preparing and maintaining denial reports, pending‑action trackers, and deadline‑monitoring sheets.
• Strong attention to detail, organizational skills, and the ability to maintain accurate records.
• Good written and verbal communication skills.

Contact Details -

Jagriti 7838422964, Amit 7678602048, Kanchan 8929989912 & Navneet 8700570163 from 10:00AM to 8:00PM. (Monday to Saturday).