Medical Claims Specialist

2 days ago


Tirupati, Andhra Pradesh, India beBeeDenial Full time ₹ 8,00,000 - ₹ 16,00,000
Job Title: Medical Claims Specialist

This role plays a vital part in the revenue cycle by ensuring accurate reimbursement from insurance companies and patients. The primary responsibility is to follow up on outstanding medical claims and resolve any discrepancies or denials.

Key Responsibilities:
  • Claim Resolution: Initiate calls to insurance companies to inquire about the status of denied claims, maintaining thorough records of all interactions and follow-up actions.
  • Re-submittal: Assist in re-submitting claims with corrected information or appealing denials.
  • Communication: Communicate with patients and internal stakeholders about denial statuses and resolution efforts.
Benefits of Effective Denial Management:
  • Increased Revenue: Enhances healthcare providers' ability to recover more revenue from claims.
  • Reduced Turnaround Time: Speeds up the revenue cycle through denial management, improving cash flow.
  • Improved Patient Relationships: Ensures patients understand the process and communicates effectively with them.

As a Medical Claims Specialist, you will work closely with various stakeholders to ensure seamless communication and efficient claim processing. Your attention to detail and excellent communication skills are essential in resolving disputes and providing exceptional customer service.



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