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24 hours ago
We are seeking a highly skilled and experienced Key Account Resolution Specialist to join our team. This individual will be responsible for resolving complex oncology-related claims and outstanding accounts receivable by establishing and maintaining effective relationships with insurance companies.
The ideal candidate will have a strong background in Oncology billing and collections, with excellent communication skills and the ability to handle difficult conversations professionally. They will analyze denied or underpaid oncology claims and implement corrective actions to ensure timely resolution.
Additionally, they will collaborate with billing, coding, and clinical teams to address claim discrepancies and improve overall revenue cycle efficiency. They must maintain accurate documentation of all calls, claim status, and resolutions to ensure compliance and quality targets.
Required Skills and Qualifications:
- 3+ years of AR calling experience in US healthcare or equivalent in Indian healthcare system.
- Minimum 3 years of experience in Oncology billing & AR processes, with a strong understanding of oncology-specific coding, modifiers, and payer guidelines.
- Excellent verbal and written communication skills with the ability to handle difficult conversations professionally.
- Knowledge of EOBs, remittance advice, and claims adjudication process, with proficiency in healthcare billing software and MS Office tools.
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