Healthcare Insurance Claims Advocate

2 days ago


Hyderabad Secunderabad Telangana Chennai Navi Mumbai, India beBeeAuthorization Full time

Insurance Call Specialist

Job Description:
  • Responsibilities include contacting insurance companies to follow up on unpaid or denied claims.
  • Review and analyze Explanation of Benefits (EOBs) to identify reasons for denials or delays.
  • Take corrective actions based on payer responses, including resubmissions, appeals, or adjustments.
  • Update billing software with clear notes on call outcomes and claim status.
  • Meet daily productivity and quality benchmarks.
  • Maintain compliance with HIPAA guidelines at all times.
Requirements:
  • Strong spoken English skills, preferably with a US accent.
  • Understanding of US healthcare terms and insurance types, including Medicare, Medicaid, and commercial plans.
  • Experience in AR calling and denial management is preferred but not mandatory.
  • Excellent attention to detail and time management skills are required.

Key Performance Indicators:

  • Productivity
  • Quality
  • Compliance


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