
Denial Resolution Specialist
6 days ago
As a Denial Management Specialist, you will be responsible for handling and resolving Out-of-Network claims that have been denied or underpaid after their initial submission. This role requires strong claim follow-up, denial management, and resolution skills, as well as staying updated on new payers and policies.
Primary Responsibilities:- Address denied or underpaid OON claims post-submission.
- Communicate with various stakeholders to resolve OON issues.
- Accurately process claims, ensuring eligibility verification and benefit coordination.
- Monitor and report OON claim statuses for timely resolution.
- Stay informed about new payers, policies, and industry changes impacting OON claims.
- Significant experience in OON claim resolution, especially in post-submission scenarios.
- Deep understanding of insurance processes, OON billing guidelines, and new payer policies.
- Exceptional communication, analytical, and organizational abilities.
- Microsoft Excel proficiency.
- Opportunities for out-of-network bonuses
- A supportive and professional work environment.
- Career progression opportunities.
- Competitive salaries and regular performance-based bonuses.
- Comprehensive training initiatives.
- Group health insurance coverage.
- Regular performance evaluations and incrementations.
- Female employees receive travel allowances.
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Billing Claim Resolutions Expert
7 days ago
Rawalpindi Cantonment, Pakistan beBee Careers Full timeBilling Resolution SpecialistWe are seeking experienced professionals to manage and resolve Out-of-Network claims after initial submission. The ideal candidate will have a strong focus on claim follow-up, denial management, and efficient resolution of OON claims, while staying informed on new payers and policies.Key Responsibilities:Resolve OON claims...
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Claims Resolution Specialist
7 days ago
Rawalpindi Cantonment, Pakistan beBee Careers Full timeWe are seeking detail-oriented and driven professionals to manage the collections process for workers' compensation claims, including billing submission follow-ups, lien/unpaid bill resolution, and document preparation & handling. This position requires familiarity with California WC regulations and a proactive approach to recovering outstanding balances.Key...
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Collections Specialists
2 days ago
Rawalpindi Cantonment, Pakistan 24-7 Consultancy Full timeWe are seeking detail-oriented and driven Workers' Compensation Collections Specialists to join our team. In this role, you will be responsible for managing the collections process for workers' compensation claims, including billing submission follow-ups, lien/unpaid bill resolution, and document preparation & handling. This position requires familiarity...
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Customer Complaints Resolution Specialist
2 days ago
Rawalpindi Cantonment, Pakistan beBee Careers Full timeCustomer Complaints Resolution SpecialistWe are seeking an experienced and skilled Customer Complaints Resolution Specialist to join our team.The successful candidate will be responsible for handling and resolving customer complaints in a fair and transparent manner.This is an excellent opportunity for someone who has experience in customer service, quality...
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Compensation Claims Coordinator
6 days ago
Rawalpindi Cantonment, Pakistan beBee Careers Full timeJob Title: Collections SpecialistIn this role, you will be responsible for managing the collections process for workers' compensation claims. Key responsibilities include billing submission follow-ups, lien/unpaid bill resolution, and document preparation & handling. Familiarity with California WC regulations is essential, as is a proactive approach to...
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Post-Submission Claims Manager
7 days ago
Rawalpindi Cantonment, Pakistan beBee Careers Full timeClaims Resolution ManagerThe role involves managing and resolving Out-of-Network claims after their initial submission. Strong claim follow-up, denial management, and efficient resolution of OON claims are essential, alongside staying up-to-date on new payers and policies.Main Duties:Resolve OON claims post-submission, addressing denials and...
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Complaints Resolution Specialist
7 days ago
Rawalpindi Cantonment, Pakistan beBee Careers Full timeComplaints Resolution LeadAbout the Role:The Complaints Resolution Lead will be responsible for overseeing and managing ongoing cases, providing guidance to improve service delivery and streamline processes. This role involves analyzing data, generating reports, and identifying areas for improvement to reduce complaints.Key Responsibilities:Reviewing and...
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Medical Billing Specialist Position
2 days ago
Rawalpindi Cantonment, Pakistan beBee Careers Full timeWe are seeking an experienced Medical Billing Specialist to join our team. A Medical Billing Specialist is responsible for medical billing, claim follow-up, and insurance calls.The ideal candidate will have at least one year of experience in medical billing, claim follow-up, and insurance calls. Additionally, they should be able to multitask and prioritize...
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Medical Claims Processor
7 days ago
Rawalpindi Cantonment, Pakistan beBee Careers Full timeMedical Claims SpecialistWe are seeking a skilled Medical Claims Specialist to join our team in handling medical claims and ensuring timely payment processing.The ideal candidate will be responsible for submitting and tracking medical claims, analyzing denials and rejections, and reconciling accounts.Key Responsibilities:Submit medical claims to insurance...
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Medical Billing AR Specialist
3 days ago
Rawalpindi Cantonment, Pakistan XenMD Full timeJob Description:We seek a qualified and dedicated AR Specialist to join our administrative office. In this position, you will be responsible for analytical tasks related to debt collection and invoicing. The role involves ensuring accurate and timely billing, resolving payment issues, managing accounts receivable, and maintaining financial...