
Medical Claims Resolved Specialist
2 days ago
About the Role
Healthcare revenue cycle team is looking for a highly skilled individual to fill the position of Medical Claims Resolved Specialist. As a key member of the team, you will be responsible for making outbound 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 or underpaid claims and take appropriate action for resolution.
- Understand insurance guidelines, medical billing, and accounts receivable workflows.
- Document all interactions accurately in the system.
- Meet daily productivity and quality targets.
- Bachelor's degree in Life Science, Commerce or equivalent field.
- 0–3 years of experience in AR Calling / Medical Billing / Revenue Cycle Management (freshers with good communication skills can apply).
- Excellent verbal and written communication skills in English.
- Knowledge of US healthcare process, CPT/ICD codes, and insurance policies is an advantage.
- Ability to work in night shifts (US time zone).
- Competitive compensation package including performance incentives.
- Comprehensive training and skill development programs.
- Career growth opportunities in the dynamic healthcare BPO industry.
- Friendly and supportive work environment.
This role offers a unique opportunity to grow professionally while making a meaningful contribution to the healthcare industry.
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