Medical Claims Follow Up Specialist

1 day ago


Kozhikode, Kerala, India beBeeDenial Full time ₹ 32,00,000 - ₹ 45,00,000

Key Responsibilities:

  • Contact insurance companies to follow up on outstanding medical claims and ensure accurate reimbursement.
Denial Management Key Activities:
  • Follow-up and Resolution: Initiate calls to insurance companies to inquire about denied claims status, ensuring timely resolution.
  • Documentation: Maintain thorough records of all interactions and follow-up actions for transparency and accountability.
  • Re-submittal: Re-submit claims with corrected information or appeal denials, adhering to established protocols.
  • Communication: Inform patients and internal stakeholders about denial statuses and resolution efforts, fostering a culture of open communication.
Benefits:
  • Increased Revenue: Effective denial management helps healthcare providers recover more revenue from claims, directly impacting the bottom line.
  • Reduced Turnaround Time: Speeding up the revenue cycle through denial management improves cash flow, enabling businesses to operate more efficiently.
  • Improved Patient Relationships: Communicate with patients to explain denial reasons and ensure understanding, promoting patient satisfaction and loyalty.


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