Claim Specialist
1 week ago
About the Company Quantanite is a global customer experience and digital solutions partner that blends cutting-edge AI with the human touch Headquartered in London and operating across four continents our 2 000-strong team helps some of the world s fastest-growing brands scale smarter work faster and deliver better service every time We re not your typical outsourcing company We believe great service is built on two things smart tech and even smarter people From our proprietary AI tools like MoBIUS to our collaborative people-first culture we give our teams the tools training and trust they need to make an impact If you want to be part of a forward-thinking fast-moving and inclusive global team that values both results and relationships you ll feel right at home here About the Role We are seeking a detail-oriented and proactive Claims Specialist to join our team In this role you ll manage the end-to-end claims process reviewing submitting and following up on insurance claims to ensure timely and accurate reimbursement You will work closely with internal teams insurance companies healthcare providers and patients to resolve billing discrepancies appeal denials and maintain compliance with regulations Key Responsibilities 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 Skills Qualifications Education High school diploma or equivalent required certification in medical billing or coding preferred Experience Minimum 2 years in claims processing medical billing or related roles Technical Proficiency in claims management systems and Microsoft Office Suite Knowledge Strong understanding of insurance claim procedures denial management and reimbursement processes Attributes Excellent attention to detail analytical thinking clear communication and ability to work independently or collaboratively What We Offer Comprehensive Training Tools resources and ongoing support for your success Career Growth Opportunities for advancement within a growing global organisation Collaborative Culture A people-first environment valuing diversity inclusion and teamwork Global Impact Partner with leading global brands to deliver exceptional results Quantanite is an equal opportunity employer We celebrate diversity and are committed to creating an inclusive environment for all employees Job Type Full-time Pay 15 000 00 - 20 000 00 per month Application Question s Mention your Current Location Mention your highest educational qualification Are you comfortable working in a Night Shift set up Drop Service is available What is your total work experience Are you an Immediate Joiner Mention your Current Salary CTC Mention your Expected Salary CTC
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