
Master Claims Resolution Professional
11 hours ago
We are seeking a highly skilled Billing Claims Specialist to manage and resolve Out-of-Network claims after initial submission.
Key Responsibilities:- Resolve OON claims post-submission, including denials and underpayments.
- Communicate with insurances, providers, and patients to address OON issues.
- Ensure accurate processing of claims, including eligibility verification and benefit coordination.
- Track and report OON claim status to ensure timely resolution.
- Stay updated on new payers, policies, and industry changes affecting OON claims.
Requirements include experience in OON claim resolution, strong knowledge of insurance processes, and excellent communication and problem-solving skills.
Why Join Us:- Out-of-Network bonus opportunities
- A professional and supportive work environment.
- Opportunities for career growth and development.
- Comprehensive medical insurance for self and family members.
- Performance-based increments.
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