
Claims Resolution Expert
1 day ago
About the Role
We are seeking skilled individuals to join our healthcare revenue cycle team as Revenue Cycle Specialists. In this role, you will be responsible for making calls to US healthcare insurance companies, resolving outstanding claims, and ensuring timely reimbursement for healthcare providers.
Key Responsibilities:
- Making outbound calls to insurance companies (US Healthcare process) to follow up on pending claims.
- Reviewing denied/underpaid claims and taking appropriate action for resolution.
- Understanding insurance guidelines, medical billing, and revenue cycle workflows.
- Documenting all interactions accurately in the system.
- Meeting daily productivity and quality targets.
- Working collaboratively with the billing team to achieve revenue cycle goals.
Required Skills & Qualifications:
- Any Graduate (Life Science/Non-Life Science/Commerce).
- 0-3 years of experience in AR Calling/Medical Billing/RCM (freshers with good communication can apply).
- Strong communication skills in English (verbal & written).
- Knowledge of US healthcare process, CPT/ICD codes, and insurance policies is an advantage.
- Willingsness to work in night shifts (US shifts).
Perks & Benefits:
- Competitive salary + performance incentives.
- Training & skill development programs.
- Career growth opportunities in the healthcare BPO industry.
- Friendly and supportive work culture.
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