
Medical Claims Resolution Specialist
2 days ago
We are seeking a skilled Revenue Cycle Team Member to join our growing team.
This role involves making calls to US healthcare insurance companies, resolving outstanding claims and ensuring timely reimbursement for healthcare providers.
Key Responsibilities:
- Make Outbound Calls: Follow up on pending claims with insurance companies.
- Resolve Denied Claims: Review denied/underpaid claims and take appropriate action for resolution.
- Understand Insurance Guidelines: Familiarize yourself with insurance guidelines, medical billing and AR workflows.
- Document Interactions: Document all interactions accurately in the system.
- Meet Targets: Meet daily productivity and quality targets.
- Collaborate with Billing Team: Work collaboratively with the billing team to achieve revenue cycle goals.
- Meet Targets: Meet daily productivity and quality targets.
- Document Interactions: Document all interactions accurately in the system.
- Understand Insurance Guidelines: Familiarize yourself with insurance guidelines, medical billing and AR workflows.
- Resolve Denied Claims: Review denied/underpaid claims and take appropriate action for resolution.
Required Skills & Qualifications:
- Education: Any Graduate (Life Science/Non-Life Science/Commerce).
- Experience: 0–3 years of experience in AR Calling/Medical Billing/RCM (freshers with good communication can apply).
- Communication Skills: Strong communication skills in English (verbal & written).
- US Healthcare Knowledge: Knowledge of US healthcare process, CPT/ICD codes and insurance policies is an advantage.
- Night Shift Availability: Willingness to work in night shifts (US shifts).
- US Healthcare Knowledge: Knowledge of US healthcare process, CPT/ICD codes and insurance policies is an advantage.
- Communication Skills: Strong communication skills in English (verbal & written).
- Experience: 0–3 years of experience in AR Calling/Medical Billing/RCM (freshers with good communication can apply).
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