Out-of-Network Claims Resolution Expert

1 week ago

Rawalpindi Cantonment, Pakistan beBee Careers Full time
Senior Billing Specialist

We 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 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.

Qualifications:

  • 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.

Benefits:

  • Out-of-Network bonus.
  • Work in a professional and supportive environment.
  • Opportunity for career growth and development.
  • Competitive salary and monthly bonuses.
  • Comprehensive training to ensure your success in the role.
  • Medical Insurance for self and family.
  • Increments on successful completion of probation period.
  • Bi-annual increments.
  • Travel allowance.

What We Offer:

  • A chance to make a difference in the industry.
  • Exceptional communication skills.
  • The opportunity to take on new challenges.

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