Claims Resolution Specialist

2 days ago


Hyderabad, Telangana, India beBeeDenial Full time ₹ 45,00,000 - ₹ 75,00,000
Claims Resolution Expert

This role involves ensuring accurate reimbursement by navigating complex billing and coding rules, following up with insurance companies and patients to resolve denied claims, maintaining thorough records of interactions, and re-submitting claims as necessary.

Key Responsibilities:
  • Claim Resolution: Initiate calls to insurance companies to inquire about denied claims and communicate resolution efforts to patients and internal stakeholders.
  • Documentation: Maintain detailed records of all interactions and follow-up actions.
  • Re-submittal: Re-submit claims with corrected information or appeal denials when necessary.
Benefits of Effective Denial Management:
  • Increased Revenue: Recover more revenue from claims through effective denial management.
  • Reduced Turnaround Time: Speed up the revenue cycle to improve cash flow.
  • Improved Patient Relationships: Communicate clearly with patients to explain denial reasons and ensure understanding of the process.


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