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Remote Medical Claims Specialist
2 weeks ago
Job Title: Remote Medical Claims Specialist
We are seeking an experienced professional to handle medical claims and ensure accurate reimbursement. As a critical component of our team, you will play a vital role in this process.
Duties and Responsibilities:
- Follow-up and Resolution: Initiate calls to insurance companies to inquire about the status of denied claims.
- Documentation: Maintain thorough records of all interactions and follow-up actions.
- Re-submittal: Re-submit claims with corrected information or appeal denials.
- Communication: Communicate with patients and internal stakeholders about denial statuses and resolution efforts.
Benefits of Effective Denial Management:
- Increased Revenue: This helps healthcare providers recover more revenue from claims.
- Reduced Turnaround Time: Speeding up the revenue cycle can improve cash flow.
- Improved Patient Relationships: Explain denial reasons and ensure patients understand the process.
This is an exciting opportunity for a motivated and detail-oriented individual to make a real impact in the healthcare industry.