Claims Resolution Expert

5 days ago


Alleppey, Kerala, India beBeeDenial Full time ₹ 20,00,000 - ₹ 40,00,000
Medical Claims Specialist Role

This position involves reaching out to insurance companies and patients to follow up on outstanding medical claims, ensuring accurate reimbursement. As a Medical Claims Specialist, you will navigate complex billing and coding rules, playing a critical role in denial management.

Key Responsibilities:
  • Follow-up and Resolution:
  • Contact insurance companies to inquire about denied claims status.
  • Documentation:
  • Maintain thorough records of all interactions and follow-up actions.
  • Re-submittal:
  • Involved in re-submitting claims with corrected information or appealing denials.
  • Communication:
  • Communicate with patients and internal stakeholders about denial statuses and resolution efforts.
Impact of Denial Management
  • Increased Revenue:
  • Effective denial management helps healthcare providers recover more revenue from claims.
  • Reduced Turnaround Time:
  • Speeding up the revenue cycle through denial management can improve cash flow.
  • Improved Patient Relationships:
  • Medical Claims Specialists often communicate with patients to explain denial reasons and ensure understanding.


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