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Insurance Claims Resolution Specialist
3 weeks ago
AR Specialist - Insurance Claims Resolution
Key Responsibilities:
- Claims Follow-up and Resolution:
- Initiate calls to insurance companies to inquire about denied claims, documenting all interactions and follow-up actions.
- Claim Re-submittal:
- Re-submit claims with corrected information or appealing denials.
- Communication:
- Communicate with patients and internal stakeholders about denial statuses and resolution efforts.
Benefits of Effective Denial Management:
- Increased Revenue:
- Effective denial management enables healthcare providers to recover more revenue from claims.
- Reduced Turnaround Time:
- Speeding up the revenue cycle improves cash flow.
- Enhanced Patient Relationships:
- Clear communication with patients explains denial reasons and ensures understanding of the process.