
Medical Claims Specialist
2 days ago
Medical Claims Representative Job Description
About the RoleWe 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
- Increased Revenue
- Reduced Turnaround Time
- Improved Patient Relationships
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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