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AR Claims Specialist
1 month ago
Required Experience: 7 years
Job Description:
Work Mode: Office-based, Monday to Friday
Shift: Night Shift, 06:00 pm to 03:00 am
Key Responsibilities:
- Follow up with insurance companies and healthcare providers on outstanding medical claims.
- Address and resolve issues related to unpaid or denied claims.
- Ensure timely claim payments by appealing denials and correcting errors.
- Analyze insurance remittance advice for accurate reimbursement.
- Maintain detailed records of communications and actions taken.
- Collaborate with internal teams to resolve billing and coding discrepancies.
- Provide top-notch customer service by handling inquiries and concerns.
- Stay informed on industry trends and insurance regulations.
Qualifications:
- Graduate degree.
- Experience in medical billing or revenue cycle management.
- Proficiency in medical billing software and insurance claim systems.
- Strong knowledge of insurance guidelines and reimbursement processes.
- Excellent communication and interpersonal skills.
- Detail-oriented, organized, and capable of multitasking.
- Strong problem-solving and critical thinking abilities.
- Ability to work both independently and collaboratively.
- Familiarity with medical terminology.
- Proficiency in Microsoft Office applications.
