Medical Claims Advocate

10 hours ago


Delhi, Delhi, India beBeeDenial Full time ₹ 12,00,000 - ₹ 15,00,000
Claims Resolution Specialist

The role of a Claims Resolution Specialist involves communicating with insurance companies and patients to resolve outstanding medical claims. This process requires navigating complex billing and coding rules, making this position critical in denial management.

Key Responsibilities:
  • Resolution and Follow-up:
  • Initiate contact with insurance companies to inquire about claim statuses and follow up on denied claims.
  • Documentation:
  • Accurately maintain records of all interactions and follow-up actions.
  • Re-submittal:
  • Involved in resubmitting claims with corrected information or appealing denials.
  • Communication:
  • Communicate effectively with patients and stakeholders about claim statuses and resolution efforts.
Benefits of Effective Denial Management:
  • Increased Revenue:
  • Denial management helps healthcare providers recover more revenue from claims.
  • Reduced Turnaround Time:
  • Efficient denial management speeds up the revenue cycle, improving cash flow.
  • Improved Patient Relationships:
  • Effective communication with patients ensures they understand the claim process.


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