Collective Resolution Specialist

2 days ago

Vijayawada, Andhra Pradesh, India beBeeOncology Full time ₹ 60,00,000 - ₹ 1,10,00,000
Collective Resolution Specialist

We are seeking an experienced Collective Resolution Specialist with a strong background in Oncology billing and collections. The ideal candidate should have at least 3 years of experience specifically in oncology, excellent communication skills, and the ability to handle complex claim resolutions while ensuring compliance with industry standards.

Key Responsibilities:

  • Contact insurance companies to follow up on oncology-related claims and resolve outstanding accounts receivable.
  • Review and analyze denied or underpaid oncology claims and take corrective actions.
  • Ensure timely follow-up on unpaid claims, resubmissions, and appeals.
  • Collaborate with billing, coding, and clinical teams to address claim discrepancies.
  • Maintain accurate documentation of all calls, claim status, and resolutions.
  • Meet productivity and quality targets as per standards.
  • Ensure compliance with HIPAA and healthcare regulations at all times.

Required Qualifications & Skills:

  • 3+ years of experience in Oncology billing & AR processes.
  • Strong understanding of oncology-specific coding, modifiers, and payer guidelines.
  • Excellent verbal and written communication skills with the ability to handle difficult conversations professionally.
  • Knowledge of EOBs, remittance advice, and claims adjudication process.
  • Ability to work independently in a remote setting and meet deadlines.
  • Proficiency with healthcare billing software and MS Office tools.

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