Medical Claims Resolution Expert

2 days ago


Coimbatore, Tamil Nadu, India beBeeResolution Full time ₹ 10,80,000 - ₹ 14,40,000

Job Role: Insurance Claim Resolution Specialist

Key Responsibilities
  • Ensure timely follow-up with US insurance companies to resolve denied or unpaid medical claims.
  • Oversee appeals, refiling, and denial resolution processes to achieve optimal outcomes.
  • Meet productivity targets in claim follow-up while maintaining high quality standards.
  • Accurately document outcomes and ensure prompt collections.
Deliverables
  • Resolved denials and underpayments with thorough documentation.
  • Reduced accounts receivable aging through proactive follow-ups and strategic communication.
  • Cleared payment clarification issues with payers to expedite reimbursement.
  • Maintained high-quality standards in claim follow-up efficiency and timeliness.
Skills and Qualifications
  • Excellent communication and interpersonal skills for effective collaboration with payers and internal stakeholders.
  • Strong analytical and problem-solving skills to identify and resolve claim-related issues.
  • Proficiency in relevant software applications and technology platforms.
  • Ability to work in a fast-paced environment with multiple priorities and deadlines.
Benefits
  • Competitive compensation package.
  • Opportunities for professional growth and development.
  • Collaborative and dynamic work environment.
  • Recognition and rewards for outstanding performance.


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