Medical Claims Resolutions Specialist

7 days ago

Nellore, Andhra Pradesh, India beBeeOncology Full time ₹ 8,00,000 - ₹ 15,00,000
Oncology AR Professional

We seek an experienced oncology billing and accounts receivable (AR) professional with a strong background in the healthcare industry. The ideal candidate will have at least 3 years of experience in oncology AR calling, excellent communication skills, and the ability to handle complex claim resolutions while ensuring compliance with industry standards.

Key Responsibilities:
  • Contact insurance companies to follow up on oncology-related claims and resolve outstanding accounts receivable.
  • Review and analyze denied or underpaid oncology claims and take corrective actions.
  • Ensure timely follow-up on unpaid claims, resubmissions, and appeals.
  • Collaborate with billing, coding, and clinical teams to address claim discrepancies.
  • Maintain accurate documentation of all calls, claim status, and resolutions.
  • Meet productivity and quality targets as per standards.
  • Ensure compliance with healthcare regulations at all times.
Required Qualifications & Skills:
  • 3+ years of AR calling experience in US healthcare.
  • Minimum 3 years of experience in Oncology billing & AR processes.
  • 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.
  • Ability to work independently in a remote setting and meet deadlines.
  • Proficiency with healthcare billing software and MS Office tools.

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