Medical Claims Specialist

3 days ago


Shimoga, Karnataka, India beBeeDenial Full time ₹ 9,00,000 - ₹ 18,00,000
Medical Claims Specialist

We are seeking an experienced Medical Claims Specialist to play a critical role in managing medical claims and ensuring accurate reimbursement.

Main Responsibilities:
  1. Follow-up and Resolution: Initiate calls to insurance companies to inquire about denied claims, resolve issues, and ensure timely payment.
  2. Documentation: Maintain thorough records of all interactions and follow-up actions to track progress and identify areas for improvement.
  3. Re-submittal: Assist with re-submitting claims with corrected information or appealing denials.
  4. Communication: Communicate with patients and internal stakeholders about denial statuses and resolution efforts, providing clear explanations and updates.
Benefits of Effective Denial Management
  • Increased Revenue: Recover more revenue from claims by effectively managing denials and utilizing AR calling strategies.
  • Reduced Turnaround Time: Streamline the revenue cycle through efficient denial management and AR calling, improving cash flow.
  • Improved Patient Relationships: Enhance patient relationships by communicating clearly about denial reasons and explaining the process.


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