
Revenue Cycle Claims Specialist
2 weeks ago
Job Title: Revenue Cycle Claims Specialist
Job Description:We are seeking a detail-oriented and organized professional to join our team as a revenue cycle claims specialist. The successful candidate will be responsible for contacting insurance companies and patients to follow up on outstanding medical claims and ensure accurate reimbursement.
Main Responsibilities:- Claims Resolution:
Initiate calls to insurance companies to inquire about the status of denied claims and resolve any discrepancies.
Documentation:Maintain thorough records of all interactions and follow-up actions.
Claim Re-submittal:Involved in re-submitting claims with corrected information or appealing denials.
Clinical Communication:Communicate with patients and internal stakeholders about denial statuses and resolution efforts.
The revenue cycle claims specialist plays a critical role in denial management, ensuring that healthcare providers recover more revenue from claims and improving cash flow through efficient revenue cycle processes.
This is an excellent opportunity for a motivated individual who can effectively navigate complex billing and coding rules to excel in this challenging yet rewarding role.
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