Medical Claims Resolved Specialist

2 days ago


Thāne, Maharashtra, India beBeeClaims Full time ₹ 6,00,000 - ₹ 8,50,000

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.
Required Skills & Qualifications
  • 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).
Perks & Benefits
  • 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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