
Medical Claims Specialist
4 days ago
Role Overview
The Medical Claims Specialist is responsible for contacting insurance companies and patients to follow up on outstanding medical claims, ensuring accurate reimbursement. This process involves navigating complex billing and coding rules, with specialists playing a critical role in denial management.
Key Responsibilities:
- Claims Resolution:
- Initiate calls to insurance companies to inquire about denied claims status.
- Maintain thorough records of interactions and follow-up actions.
- Re-submittal Process:
- Involved in re-submitting claims with corrected information or appealing denials.
- Communication Strategy:
- Communicate with patients and internal stakeholders about denial statuses and resolution efforts.
Denial Management Benefits:
- Increased Revenue:
- Effective denial management, including specialist roles, helps healthcare providers recover more revenue from claims.
- Reduced Turnaround Time:
- Speeding up the revenue cycle through denial management and specialist involvement improves cash flow.
- Improved Patient Relationships:
- Specialists communicate with patients to explain denial reasons and ensure understanding of the process.
Qualifications: Proven experience in patient communication, medical billing, or similar roles. Strong analytical skills, attention to detail, and excellent interpersonal skills required.
-
Claims Processor
4 days ago
Kanpur, Uttar Pradesh, India beBeeJob Full time US$ 60,000 - US$ 80,000Medical Billing SpecialistWe are seeking a highly skilled and organized professional to manage the submission and follow-up of claims with insurance companies. The successful candidate will be responsible for verifying patient insurance coverage, preparing billing data, and ensuring timely payment for services rendered.Key Responsibilities:Verify patient...
-
Kanpur, Uttar Pradesh, India beBeeRevenue Full time ₹ 8,00,000 - ₹ 10,00,000Medical Revenue Cycle SpecialistWe are seeking a highly skilled Medical Revenue Cycle Specialist to join our team. As a Medical Revenue Cycle Specialist, you will play a critical role in ensuring the smooth operation of our medical billing and revenue cycle management services.You will be responsible for handling VOB (Voice Process), Charge entry, payment...
-
Medical Claims Professional
2 weeks ago
Kanpur, Uttar Pradesh, India beBeeHealthInsuranceClaims Full time ₹ 8,00,000 - ₹ 12,00,000About Our Health Insurance Claims RoleWe're seeking a skilled and empathetic professional to handle health insurance claims with accuracy, fairness, and efficiency.Key Responsibilities:Process and evaluate health insurance claims with precision and empathy.Verify policy coverage, eligibility, and supporting documents for seamless settlement.Maintain accurate...
-
Test Claims Specialist
1 week ago
Kanpur, Uttar Pradesh, India beBeeTesting Full time ₹ 18,00,000 - ₹ 25,00,000**About the Role**We are seeking a skilled Claims Testing Specialist to join our team.The ideal candidate will be responsible for testing and quality assurance to ensure high-quality software solutions.Responsibilities:Strong knowledge of Software Development Life Cycles (SDLC) and Testing Life Cycles (STLC).Good experience in Agile projects and...
-
Claims Resolution Specialist
6 days ago
Kanpur, Uttar Pradesh, India beBeeInsurance Full time ₹ 7,50,000 - ₹ 15,00,000Claims Settlement ProfessionalWe are looking for a highly skilled Claims Settlement Professional to manage the entire claims settlement process. The ideal candidate will assess claims, investigate their validity, coordinate with adjusters, and ensure timely and fair settlements.Key Responsibilities:Claims Processing: Handle the entire claims process from...
-
Competitive Claims Specialist
2 weeks ago
Kanpur, Uttar Pradesh, India beBeeClaims Full time ₹ 15,00,000 - ₹ 20,00,000Senior Claims Analyst Job DescriptionWe are seeking an experienced Senior Claims Analyst to process Life Insurance and Living Benefits Claims for Canadian customers.This role involves coordinating with onshore teams and clients to ensure timely processing of claims transactions.In order to succeed in this challenging position, you must have excellent...
-
Dental Claims Submission and Appeals Expert
1 week ago
Kanpur, Uttar Pradesh, India beBeeDentalClaimsSpecialist Full time US$ 28,800 - US$ 31,440Dental Claims SpecialistAccurate and efficient submission of dental insurance claims is essential for maintaining positive relationships with clients. As a Dental Claims Specialist, you will be responsible for ensuring the timely submission of claims, tracking payments, following up on outstanding balances, and verifying the accuracy of accounts...
-
Claim Management Professional
1 week ago
Kanpur, Uttar Pradesh, India beBeeClaimsSpecialist Full time ₹ 10,00,000 - ₹ 15,00,000Job Title: Claims SpecialistKey Responsibilities:Manage end-to-end cashless claims of employees, verifying policy coverage and coordinating with insurers.Verify Policy Coverage: Review policy details to ensure eligibility for cashless processing.Provide Customer Service: Respond to inquiries regarding claim status and related queries.Coordinate with...
-
Insurance Claims Specialist
1 week ago
Kanpur, Uttar Pradesh, India beBeeClaims Full time ₹ 8,50,000 - ₹ 13,15,000About This RoleWe are seeking a highly skilled and detail-oriented Claims Analyst to join our team. As a Claims Analyst, you will play a critical role in analyzing claims data, verifying policies and claims documents, and processing payments.This is an exciting opportunity for individuals who are passionate about insurance and have excellent analytical and...
-
Medical Specialist
1 week ago
Kanpur, Uttar Pradesh, India beBeeMedical Full time ₹ 1,20,00,000 - ₹ 1,50,00,000Job Title: Medical SpecialistRole Summary:Evaluate AI-generated medical content for accuracy and safety. Assess patient scenarios, determine likely diagnoses/treatment plans, and review AI summaries of medical conversations.Key Responsibilities:Assess patient data and evaluate the appropriateness of medical treatment plansDetermine the validity of...