
Medical Claims Resolution Expert
2 days ago
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.
- 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.
- 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.
- Competitive compensation package.
- Opportunities for professional growth and development.
- Collaborative and dynamic work environment.
- Recognition and rewards for outstanding performance.
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Healthcare Claims Resolution Specialist
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Healthcare Claims Resolution Specialist
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