Revenue Cycle Claims Specialist

2 weeks ago


Pushkar, Rajasthan, India beBeeDenial Full time ₹ 50,40,000 - ₹ 85,20,000

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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