
Claims Resolution Professional
2 days ago
Outstanding Medical Claims Specialist
As an Outstanding Medical Claims Specialist, you will be responsible for contacting insurance companies and patients to follow up on outstanding medical claims. This process involves navigating complex billing and coding rules.
Key Responsibilities:- Initiate calls to insurance companies to inquire about the status of denied claims.
- Maintain thorough records of all interactions and follow-up actions.
- Re-submit claims with corrected information or appeal denials.
- Communicate with patients and internal stakeholders about denial statuses and resolution efforts.
Denial Management and Healthcare Providers
- Effective denial management helps healthcare providers recover more revenue from claims.
- Speeding up the revenue cycle can improve cash flow.
- Improved patient relationships through clear communication.
Responsibilities Summary:
- Follow up with patients and insurance companies regarding outstanding claims.
- Review and correct claim information as needed.
- Monitor and report on claim statuses and resolution efforts.
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