Medical Claims Specialist

2 days ago


Kannur, Kerala, India beBeeClaim Full time ₹ 12,00,000 - ₹ 24,00,000

Medical Claims Representative Job Description

About the Role

We are seeking a highly skilled Medical Claims Representative to join our team. As a Medical Claims Representative, you will be responsible for contacting insurance companies and patients to follow up on outstanding medical claims and ensure accurate reimbursement.

Daily Responsibilities
  • Contact 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
Benefits of Effective Denial Management
  • Increased Revenue
  • Reduced Turnaround Time
  • Improved Patient Relationships
Requirements

To be successful in this role, you will need:

  • Excellent communication and problem-solving skills
  • The ability to navigate complex billing and coding rules
  • Strong organizational and time management skills
  • A customer-focused approach


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