
Executive for Insurance Claim Resolution
2 days ago
PMTAC Private Limited is seeking an experienced Bills Management Specialist to join our team. As an Executive for Insurance Claim Resolution, you will be responsible for managing and resolving complex Out-of-Network claims.
The ideal candidate will have a strong focus on claim follow-up, denial management, and efficient resolution of OON claims. Key responsibilities include resolving OON claims post-submission, communicating with insurances, providers, and patients to address OON issues, ensuring accurate processing of claims, tracking and reporting OON claim status, and staying updated on new payers, policies, and industry changes.
Requirements- Minimum graduation.
- Experience in OON claim resolution, with a focus on post-submission issues.
- Strong knowledge of insurance processes, OON billing guidelines, and new payer policies.
- Excellent communication, problem-solving, and organizational skills.
- Proficiency in Excel.
- Out-of-Network bonus.
- Professional and supportive work environment.
- Career growth and development opportunities.
- Competitive salary and monthly bonuses.
- Comprehensive training.
- Medical Insurance for self, spouse, and children.
- Increments on successful completion of probation period.
- Bi-annual increments.
- Travel allowance (For Female Employees).
Job time: 6:00 pm - 3:00 am. Apply now if you are passionate about making a difference.
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