Medical Claims Specialist

4 hours ago


Gandhinagar, Gujarat, India beBeeReimbursement Full time ₹ 9,00,000 - ₹ 12,00,000

As a key figure in medical claims processing, you will play a crucial role in ensuring accurate reimbursement. Your responsibility will involve navigating complex billing and coding rules to follow up on outstanding claims.

Main Responsibilities:
  • Claim Resolution
    • You will initiate calls to insurance companies to inquire about the status of denied claims.
  • Documentation Management
    • You will maintain thorough records of all interactions and follow-up actions.
  • Claim Re-submittal
    • You may be involved in re-submitting claims with corrected information or appealing denials.
  • Stakeholder Communication
    • You will communicate with patients and internal stakeholders about denial statuses and resolution efforts.
Benefits:
  • Effective claim management enables healthcare providers to recover more revenue from claims.
  • Denial management and claim resolution can speed up the revenue cycle, improving cash flow.
  • Explaination of denial reasons fosters improved patient relationships.


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