Medical Claims Specialist

5 days ago


Islamabad, Islamabad, Pakistan Sky Trooper Associates Full time
Job Overview
Sky Trooper Associates is a leading staffing and recruiting firm specializing in the services sector. We match businesses with high-performing talent by leveraging our expertise in the services industry.

Key Responsibilities
Accurately prepare and submit medical claims to insurance companies, ensuring timely payment and minimal errors.
Verify patient insurance coverage and eligibility, streamlining the reimbursement process.
Proactively follow up on unpaid or denied claims, resolving billing issues efficiently and effectively.
Post payments and adjustments to patient accounts, maintaining accurate financial records.
Generate and send patient statements, fostering clear communication and transparency.
Maintain up-to-date knowledge of coding regulations (CPT, ICD-10, HCPCS) and insurance guidelines, staying compliant with industry standards.
Communicate with patients, insurance companies, and healthcare providers to resolve billing inquiries, providing exceptional customer service.
Ensure compliance with federal, state, and payer-specific regulations, upholding Sky Trooper Associates' commitment to quality and excellence.

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