
Medical Billing Advocate
3 days ago
Our team is seeking a highly skilled and detail-oriented Insurance Claim Resolution Specialist to join our organization. As an integral part of our operations, this role will be responsible for communicating with insurance companies to resolve pending or denied claims.
The ideal candidate will have excellent communication skills, a neutral or US accent, and experience working with medical billing software, EMR/EHR systems, and MS Excel.
Key Responsibilities:
- Establish relationships with insurance companies to facilitate claim resolution.
- Analyze Explanation of Benefits (EOBs) and denial codes to identify areas for improvement.
- Develop and implement strategies to reduce claim denials and increase productivity.
- Maintain accurate records and update internal systems with clear notes on claim status.
- Collaborate with supervisors and team members to ensure seamless case management.
Eligibility Criteria:
- Education: A degree in Life Sciences or Healthcare is preferred but not required.
- Experience: 1–3 years in AR Calling / Denial Management or a related field.
- Communication Skills: Excellent spoken English with a neutral or US accent.
- Technical Skills: Proficiency in MS Excel, medical billing software, and EMR/EHR systems.
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