
Medical Billing Specialist
23 hours ago
Job Summary:
- We are seeking a skilled professional to join our team as an Insurance Claim Representative. This role involves making outbound calls to insurance companies to follow up on pending or denied claims, analyzing EOBs and denial codes, and taking appropriate actions.
Making outbound calls to insurance companies to resolve claim issues
Analyzing EOBs (Explanation of Benefits) and denial codes to identify potential issues
Taking appropriate actions such as appeals, re-submissions, or escalations to resolve claim disputes
Meeting daily/weekly productivity targets and quality benchmarks (accuracy ≥95%)
Updating internal billing systems with clear and concise notes on claim status
FOLLOWING HIPAA guidelines and client-specific protocols during interactions
Coordinating with the team and supervisors for escalations or complex cases
Education: Any graduate (Life Sciences or Healthcare background preferred)
Experience:
Freshers with excellent communication skills are welcome
Experienced candidates (1–3 years) in AR Calling / Denial Management preferred
Communication Skills: Excellent spoken English with a neutral or US accent
Technical Skills: Basic knowledge of MS Excel, medical billing software (e.g., Kareo, Athena, NextGen), and EMR/EHR systems
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