Senior Analyst, First Level Appeals (India)

Ovii's Interpretation of the Role

Join Commure's Global Operations team in Gurugram to drive revenue recovery by reviewing, documenting, and appealing denied healthcare claims. You’ll ensure compliance, surface denial trends, and support automation improvements in a fast‑moving, high‑stakes environment.

Role Snapshot

• First‑level appeals analysis
• Revenue recovery focus
• Medical billing & claims expertise
• Compliance with payer policies
• Detailed case documentation
• Denial pattern identification
• Automation feedback contributor
• Throughput & quality target owner

Must-Have Requirements

• medical billing
• claims processing
• appeals management
• understanding of denial categories
• strong written communication
• strong reasoning skills

Nice-to-Have Signals

• familiarity with payer portals
• familiarity with EHR systems
• payer portal navigation
• EHR system familiarity

Work Setup

• Location: Gurugram, India
• Work mode: ONSITE
• Employment type: Full-Time

Not Specified in JD

• Visa sponsorship
• Salary range
• Remote eligibility
• Education requirement
• Certifications
• Relocation
• Notice period
• Travel
• Security clearance
• Coding test
• Portfolio
• GitHub
• Writing sample
• Cover letter

What You'll Likely Work On

• Assess denied claims for appealability and submit appeals through appropriate channels.
• Document actions, outcomes, and case notes in the system of record at each step.
• Identify recurring denial patterns and payer‑specific issues to improve submission accuracy.
• Review system‑generated automation outputs and provide structured feedback on gaps.
• Ensure all appeal activities comply with payer policies, timely filing requirements, and regulatory guidelines.
• Consistently meet daily throughput and quality targets.

Good Fit If You Have

• Strong attention to detail and accurate documentation.
• Ability to articulate appeal rationale clearly in writing.
• Comfortable working in a fast‑moving, high‑stakes healthcare environment.
• Interest in improving revenue recovery processes.