Claims and Authorizations Specialist

1 week ago


Hyderabad Secunderabad Telangana Mumbai Chennai, India beBeeAuthorization Full time ₹ 9,00,000 - ₹ 12,00,000
Job Title:

Claims and Authorizations Specialist

Key Responsibilities:
  • Contact insurance companies via outbound calls to follow up on unpaid or denied claims.
  • Review Explanation of Benefits (EOBs) to identify reasons for denials or delays.
  • Take corrective actions such as resubmissions, appeals, or adjustments based on payer responses.
  • Update billing software with clear notes on call outcomes and claim status.
  • Meet productivity and quality benchmarks.
  • Ensure compliance with HIPAA guidelines at all times.
Requirements:
  • Strong spoken English skills (US accent preferred).
  • Understanding of US healthcare terms and insurance types (Medicare, Medicaid, commercial).
  • Experience in AR calling/denial management is an asset (freshers can be trained).
  • Attention to detail and time management skills are essential.
Role Highlights:
  • Initiate and obtain prior authorizations from insurance carriers for procedures, medications, or services.
  • Review patient eligibility and benefits through insurance portals and calls.
  • Communicate effectively with healthcare providers and insurance reps to track authorization status.
  • Maintain accurate authorization logs and escalate pending requests before scheduled services.


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