Effective Medical Claims Recovery Specialist

20 hours ago


Mumbai, Maharashtra, India beBeeDenial Full time ₹ 10,30,000 - ₹ 13,15,000
Medical Claims Recovery Specialist

We are seeking an experienced professional to manage and resolve outstanding medical claims. As a Medical Claims Recovery Specialist, you will be responsible for initiating contact with insurance companies and patients to follow up on denied claims and ensure accurate reimbursement.

Key Responsibilities
  • Denial Resolution: Effectively communicate with insurance companies to clarify denial reasons and negotiate resolution.
  • Documentation: Maintain thorough records of all interactions and follow-up actions to track progress and ensure compliance.
  • Claim Re-submittal: Re-submit claims with corrected information or appeal denials to minimize delays.
  • Communication: Collaborate with patients and internal stakeholders to provide updates on denial statuses and resolution efforts.

Benefits of Effective Denial Management
  • Increased Revenue: By recovering more revenue from denied claims, healthcare providers can improve their financial stability.
  • Reduced Turnaround Time: Streamlining the revenue cycle through denial management can expedite cash flow and reduce operational costs.
  • Improved Patient Relationships: Open communication with patients helps build trust and ensures they understand the claims process.


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