Senior Process Associate Denial Management & Revenue Cycle

HCLTech; Taguig; On-site; PHP 450,000 - 600,000; Full time

Job summary

Sapsf is seeking a Senior Process Associate to join the denial management team. The role focuses on reviewing denied claims, identifying root causes, and strategizing to improve reimbursement. Collaboration with insurers and providers is essential to resolve issues and submit well-documented appeals.

The position requires strong communication, attention to detail, and the ability to work in a fast-paced, changing environment while aligning with US shift schedules.

Qualifications

• Strong verbal and written communication skills.
• Neutral accent and good adoption to US culture.

Responsibilities

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

Skills

Verbal communication

Written communication

Neutral accent

US culture adaptation

First contact resolution

Customer experience

Active listening

Team player

Process improvement

Job description

Sapsf is seeking a Senior Process Associate to join the denial management team. The role focuses on reviewing denied claims, identifying root causes, and strategizing to improve reimbursement. Collaboration with insurers and providers is essential to resolve issues and submit well-documented appeals.

The position requires strong communication, attention to detail, and the ability to work in a fast-paced, changing environment while aligning with US shift schedules.