
Medical Claim Resolution Specialist
2 days ago
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.
- 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.
- 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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