Medical Claims Assistant
6 days ago
Seeking a diligent Medical Claims Assistant to join our team at Smart Lion Private Limited. As a key member, you will be responsible for ensuring seamless communication between healthcare professionals and insurance companies.
About the RoleWe are looking for an individual with excellent communication skills to handle inbound and outbound calls related to medical claims. Your primary focus will be on resolving insurance-related issues, verifying healthcare professional credentials, and receiving payment information.
Apart from this, you will also be required to work cohesively in a team setting, assisting your colleagues to achieve shared goals and escalating any issues to seniors as necessary.
Your expertise in denial management and ability to ensure deliverables meet quality standards will be invaluable assets to our team.
Key Responsibilities:- Calling the insurance company on behalf of doctors/physicians to inquire about claim status
- FOLLOW UP with the insurance company to check the status of outstanding claims
- Handle inbound and outbound calls from US clients (excluding sales) to resolve insurance-related issues
- Taking in-bound calls from US patients to fix appointments
- Handling outbound calls to resolve insurance-related issues
- Verifying the credentials of healthcare professionals
- Strong knowledge of denial management
- Receiving payment information if the claims have been processed
- Ensuring deliverables adhere to quality standards
- Working cohesively in a team setting, assisting team members to achieve shared goals
- Communication/Issue escalation to seniors if there is any on-time issue
- Good knowledge of MS Office and familiarity with relevant computer applications
- Excellent communication skills
This role requires working 5 days a week, with shift timing being 6:30 PM to 3:30 AM. You will be based in Ahmedabad, Gujarat, but the opportunity to work from office allows for flexibility.
Salary and Benefits:The estimated salary for this position ranges up to ₹35,000 per month (dependent on performance during interviews). Additionally, you can expect benefits like Performance Bonus Benefits, making this role an attractive opportunity for the right candidate.
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