Job title: clinical denial specialist
about the role
we are seeking a skilled clinical denial specialist to join our team. As a clinical denial specialist, you will play a critical role in reviewing clinical documentation and identifying inconsistencies or areas of improvement that impact claims or patient care records.
the ideal candidate will have a strong background in medicine or life sciences, with excellent analytical and communication skills. You will be responsible for reviewing clinical documents and submissions made by healthcare professionals, ensuring completeness, clarity, and compliance with medical documentation standards.
you will also analyze medical charts and documentation to identify errors, gaps, or inconsistencies, flagging documentation issues that may lead to insurance claim denials. Collaboration with physicians or other stakeholders is essential to resolve discrepancies.
skill requirements:
* strong english communication skills – verbal and written
* basic understanding of clinical terms, medical charts, and documentation standards
* analytical thinking and attention to detail
* willingness to work in a process-driven, fast-paced environment
education and experience:
* freshers with bachelor's in science or medicine
* experienced physicians
* professionals with experience in revenue cycle management (rcm)
* candidates with prior healthcare bpo experience (e.g., teleperformance, omega, cognizant, etc.)