
Healthcare Claims Specialist
1 day ago
Job Opportunity:
Healthcare Claims SpecialistWe are seeking a detail-oriented and skilled individual to join our team as a Healthcare Claims Specialist. In this role, you will play a crucial part in managing and following up on outstanding healthcare claims to ensure timely collections.
This position requires strong communication and negotiation skills to maintain positive relationships with healthcare providers and payers while adhering to healthcare regulations and company policies.
Key Responsibilities:- Claim Follow-Up: Review and follow up on unpaid or denied claims with insurance companies, providers, and patients to secure timely payments.
- Customer Communication: Conduct professional follow-up calls and emails to resolve outstanding balances, answer inquiries, and clarify billing issues.
- Documentation: Maintain accurate and up-to-date records of all communications, payment arrangements, and claim statuses in the billing system.
- Dispute Resolution: Investigate and resolve discrepancies related to payments, denials, and adjustments, collaborating with relevant departments as necessary.
- Reporting: Generate and review reports on accounts receivable aging, collections progress, and trends to provide insights for management.
Requirements:
- Minimum 5 years of experience in Healthcare Accounts Receivable, Medical Billing, or a related field.
- Strong knowledge of Healthcare Billing Processes, insurance protocols, and relevant regulations.
- Excellent communication and negotiation skills.
- Proficiency in Microsoft Office Suite and experience with healthcare billing software.
- Typing speed of 25 WPM with 95% accuracy.
This is an exciting opportunity for individuals who enjoy working in a fast-paced environment and are passionate about delivering excellent customer service.
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