Clinical Claims Specialist

7 hours ago


India Intelligent Medical Billing Solutions Full time

Job Summary

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  • We are seeking a highly skilled Clinical Claims Specialist to join our team at Intelligent Medical Billing Solutions.

About the Role

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  1. This is a full-time, permanent position that requires a strong understanding of healthcare regulations and coding standards (e.g., ICD-10, CPT).
  2. The successful candidate will be responsible for reviewing medical documentation and patient records to accurately code and process claims for healthcare services rendered.
  3. You will also verify patients' insurance coverage, eligibility, and benefits to determine appropriate billing procedures and ensure accurate reimbursement.
  4. Additionally, you will generate and submit invoices to insurance companies, government payers, and patients, ensuring adherence to billing guidelines and regulations.
  5. As a Clinical Claims Specialist, you will monitor the status of submitted claims, identify unpaid or denied claims, and initiate follow-up activities to resolve discrepancies and facilitate timely payment.
  6. You will investigate claim denials, identify root causes, and take appropriate actions to appeal denied claims or correct billing errors to maximize reimbursement.
  7. Furthermore, you will record and reconcile payments received from insurance companies and patients, ensuring accurate documentation of all financial transactions.
  8. Your excellent communication skills will enable you to assist patients and healthcare providers with billing inquiries, payment arrangements, and insurance-related issues in a professional and courteous manner.
  9. Last but not least, you will maintain detailed records of billing activities, claim statuses, and payment transactions, and generate reports to track billing performance and identify trends or areas for improvement.

What We Offer

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  • A competitive salary of $65,000 - $85,000 per year, depending on experience.
  • A comprehensive benefits package, including health, dental, and vision insurance.
  • A generous bonus structure, including a joining bonus and performance-based bonuses.
  • A dynamic and supportive work environment, with opportunities for growth and professional development.
  • A flexible schedule, with options for remote work and a 2:00 PM to 12:00 AM shift.

Requirements

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  • Bachelor's degree in a related field, such as healthcare administration or business.
  • Minimum 2 years of experience in medical billing, insurance verification, or a related field.
  • Strong knowledge of healthcare regulations, coding standards (e.g., ICD-10, CPT), and billing requirements.
  • Excellent analytical and problem-solving skills, with attention to detail and accuracy.
  • Strong communication and interpersonal skills, with ability to work effectively with patients, healthcare providers, and insurance companies.

How to Apply

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Please submit your resume and cover letter to apply for this exciting opportunity.



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