Insurance Claim Resolution Specialist

1 week ago


Coimbatore, Tamil Nadu, India Starworth Global Solutions Full time

**Job Title:** Insurance Claim Resolution Specialist

We are seeking an experienced Insurance Claim Resolution Specialist to join our team at Starworth Global Solutions.

**Company Overview:** Our company, Starworth Global Solutions, is a leading provider of innovative solutions for healthcare organizations. We pride ourselves on delivering exceptional service and building long-term relationships with our clients.

**Salary:** The estimated salary for this position is between $60,000 and $80,000 per year, depending on experience and qualifications.

Job Description:

The Insurance Claim Resolution Specialist will play a crucial role in resolving outstanding insurance claims for physicians and medical institutions. Key responsibilities include:

  • Calling insurance companies to investigate and resolve unpaid claims
  • Prioritizing claims based on their age and urgency
  • Negotiating with insurance companies to secure payment for approved claims
  • Evaluating patient information to determine the relevance of insurance coverage
  • Transferring outstanding balances to patients when necessary
  • Requesting Explanation of Benefits (EOB) from insurance companies for paid claims
  • Making adjustments to claims based on input from insurance companies

Required Skills and Qualifications:

  • Strong communication and negotiation skills
  • Ability to work independently and as part of a team
  • Excellent organizational and time management skills
  • Familiarity with insurance policies and procedures
  • Proficiency in Microsoft Office and other software applications

Benefits:

  • Competitive salary and benefits package


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