Healthcare Claims Specialist

3 days ago


Aurangabad, Maharashtra, India UsiaTech LLC Full time

**Job Title:** Healthcare Claims Specialist

Estimated Salary: $60,000 - $80,000 per year

Job Description:

We are seeking an experienced Healthcare Claims Specialist to join our team. As a Healthcare Claims Specialist, you will be responsible for reviewing and submitting accurate and timely insurance claims on behalf of healthcare providers.

Your primary duties will include:

  1. Gaining a thorough understanding of our medical billing platform
  2. Reviewing and submitting all insurance claims daily
  3. Correcting insurance claim rejections and denials, as well as overseeing appeals
  4. Accurately recording all insurance write-offs
  5. Assisting with prior-authorizations, referrals, and physician orders as needed
  6. Maintaining and reporting on patient and insurance company Accounts Receivable
  7. Collaborating with staff accountants to ensure accurate financial statements
  8. Data entry of payment information or other financial data into client accounts
  9. Providing exceptional customer service to patients and vendors

Required Skills and Qualifications:

To be successful in this role, you will need:

  • 5+ years of medical billing experience
  • Relevant experience with Medicaid, Medicare, and private insurance
  • Proficiency in Microsoft applications and EMR systems
  • Strong understanding of HIPAA regulations and laws
  • Pleasant and assertive personality, with excellent communication skills

Benefits: Our company offers a competitive salary, comprehensive benefits package, and opportunities for professional growth and development.



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