
Healthcare Claims Specialist
7 days ago
Claims Resolution Specialist
We are seeking a highly skilled Claims Resolution Specialist to join our growing healthcare revenue cycle team. The successful candidate will be responsible for making calls to US healthcare insurance companies, resolving outstanding claims and ensuring timely reimbursement for healthcare providers.
Key Responsibilities:
- Make outbound calls to insurance companies (US Healthcare process) to follow up on pending claims.
- Review denied / underpaid claims and take appropriate action for resolution.
- Understand insurance guidelines, medical billing and AR workflows.
- Document all interactions accurately in the system.
- Meet daily productivity and quality targets.
- Work collaboratively with the billing team to achieve revenue cycle goals.
- Meet daily productivity and quality targets.
- Document all interactions accurately in the system.
- Understand insurance guidelines, medical billing and AR workflows.
- Review denied / underpaid claims and take appropriate action for resolution.
Required Skills & Qualifications:
- Any Graduate (Life Science / Non-Life Science / Commerce).
- 0–3 years of experience in AR Calling / Medical Billing / RCM (freshers with good communication can apply).
- Strong communication skills in English (verbal & written).
- Knowledge of US healthcare process, CPT/ICD codes and insurance policies is an advantage.
- Willingness to work in night shifts (US shifts).
- Knowledge of US healthcare process, CPT/ICD codes and insurance policies is an advantage.
- Strong communication skills in English (verbal & written).
- 0–3 years of experience in AR Calling / Medical Billing / RCM (freshers with good communication can apply).
Perks & Benefits:
- Competitive salary + performance incentives.
- Training & skill development programs.
- Career growth opportunities in the healthcare BPO industry.
- Friendly and supportive work culture.
- Career growth opportunities in the healthcare BPO industry.
- Training & skill development programs.
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