Healthcare Claim Specialist

8 hours ago


Hyderabad, Telangana, India beBeeClaims Full time ₹ 10,00,000 - ₹ 12,50,000

Job Title: Healthcare Claim Specialist

We are seeking a seasoned professional with experience in healthcare claim management and customer service. The ideal candidate should have at least 3 years of experience in calling and resolving claims for insurance companies, a strong background in oncology billing and collections, and excellent communication skills.

Key Responsibilities:
  • Contact insurance companies to follow up on oncology-related claims and resolve outstanding accounts receivable.
  • Analyze and review denied or underpaid oncology claims and take corrective actions.
  • Ensure timely follow-up on unpaid claims, resubmissions, and appeals.
  • Collaborate with billing, coding, and clinical teams to address claim discrepancies.
  • Maintain accurate documentation of all calls, claim status, and resolutions.
  • Meet daily/weekly productivity and quality targets as per industry standards.
  • E nsure compliance with HIPAA and healthcare regulations at all times.
Required Skills & Qualifications:
  • 3+ years of experience in healthcare claim management and customer service.
  • Minimum 3 years of experience in Oncology billing & AR processes.
  • Strong understanding of oncology-specific coding, modifiers, and payer guidelines.
  • Excellent verbal and written communication skills with the ability to handle difficult conversations professionally.
  • Knowledge of EOBs, remittance advice, and claims adjudication process.
  • Ability to work independently in a remote setting and meet deadlines.
  • Proficiency with healthcare billing software and MS Office tools.


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