Medical Claims Specialist

5 hours ago


Solapur, Maharashtra, India beBeeClaims Full time US$ 40,000 - US$ 62,500

Role Overview:

The Medical Claims Specialist is responsible for ensuring seamless reimbursement processing for healthcare services.

  • Claims Submissions: Accurately submit and follow up on claims with insurance providers to secure timely payments.
  • Patient Insurance Verification: Verify patient insurance coverage, prepare and process billing information, review patient invoices for accuracy, and work with patients to settle outstanding balances.
  • Billing Resolution: Analyze and apply denials and appeal procedures appropriately, communicating effectively with team members to resolve billing discrepancies.

Key Qualifications:

  • Proficiency in Medical Terminology and ICD-10 coding
  • Experience in handling Insurance claims and working with Medicare
  • Strong understanding of Denials and appeal procedures
  • Ability to work independently and remotely


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