Clinical Claim Resolutions Specialist

1 week ago


Thāne, Maharashtra, India beBeeDenial Full time ₹ 5,42,667 - ₹ 7,49,263

Job Overview:

An AR Calling Specialist is responsible for contacting insurance companies and patients to resolve outstanding medical claims.

Key Responsibilities:

  • Claims Resolution: Initiate calls to insurance companies to verify denied claim status updates.
  • Documentation: Maintain thorough records of interactions, follow-up actions, and claim resolutions.
  • Re-submittal: Re-submit claims with corrected information or appeal denials when necessary.
  • Communication: Inform patients and stakeholders about denial statuses and resolution efforts in a clear and concise manner.

Benefits to Healthcare Providers:

  • Revenue Recovery: Effective denial management through AR calling results in increased revenue recovery from claims.
  • Improved Cash Flow: Speeding up the revenue cycle through denial management and AR calling enhances cash flow.
  • Patient Engagement: AR callers communicate with patients to explain denial reasons and ensure understanding, improving patient relationships.

About this Role:

  • Collaboration: Work closely with internal teams to ensure seamless communication and efficient claim resolution.
  • Problem-Solving: Analyze complex claim issues and develop effective solutions to resolve them.
  • Adaptability: Stay up-to-date with changing regulations and industry developments to maintain compliance and optimize processes.


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