Medical Claim Resolution Specialist

2 days ago


Mangalore, Karnataka, India beBeeClaim Full time ₹ 40,00,000 - ₹ 80,00,000

Job Title: Medical Claim Resolution Specialist

We are seeking a skilled and detail-oriented Medical Claim Resolution Specialist to join our team. In this role, you will be responsible for communicating with insurance companies and patients to resolve outstanding medical claims.

Key Responsibilities:
  • Contacting Insurance Companies: Initiate calls to insurance companies to inquire about the status of denied claims.
  • Documentation: Maintain accurate records of all interactions and follow-up actions.
  • Re-submittal: Collaborate with internal stakeholders to re-submit claims with corrected information or appeal denials.
  • Patient Communication: Explain denial reasons and ensure patients understand the process.
Benefits:
  • Improved Revenue Cycle Management: Effective claim resolution helps healthcare providers recover more revenue from claims.
  • Enhanced Patient Relationships: Our team works closely with patients to resolve issues and improve overall satisfaction.
  • Professional Growth Opportunities: Join our team and develop your skills in medical claim resolution and patient communication.
Requirements:
  • Strong Communication Skills: Ability to effectively communicate with insurance companies and patients.
  • Attention to Detail: Accurately document interactions and follow-up actions.
  • Analytical Skills: Identify and resolve claim denials.
  • Team Player: Collaborate with internal stakeholders to achieve goals.


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