Claims Specialist
7 days ago
Job Location: Thane
Shift Timings: 6.30 pm to 3.30 am
Functions: Reasonable accommodation may be made to enable individuals with
disabilities to perform job-related functions.
Review claims for assigned offices and ensure submission within a timely manner.
Perform quality control checks on patient accounts for accurate billing.
Review and analyze denial queues to identify outstanding claims and unpaid balances.
Follow up on denied, underpaid or rejected claims with insurance companies to resolve billing
discrepancies and ensure proper reimbursement.
Investigate and resolve any claim rejections or denials, including appealing or demanding
denied claims when necessary.
Collaborate with the Insurance Verification team to ensure eligibility and coverage is
uploaded for patients, ensuring accurate billing information is obtained.
Communicate with insurance companies, patients, and healthcare providers to gather
additional information required for claim processing.
Strong English proficiency skills (verbal & written) required.
Knowledge of medical billing/collection practices.
Knowledge of computer programs.
Ability to operate a computer and basic office equipment.
Ability to operate a multi-line telephone system.
Ability to read, understand and follow oral and written instructions.
Must be well organized and detail oriented.
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