
Insurance Claims Professional
5 days ago
The Role:
- Appeal and resolution experience for claims
- Complete claims payments to payers
- Submit billing data to insurance providers
- Analyze and resolve denied claims, identify billing issues
- Monitor aging, ensure timely follow-up of claims, reduce future denials, ensure accurate payment and escalate issues to management as needed
- Conduct insurance re-verification using tools and initiate billings or reprocess claims accordingly
- Ability to multitask and manage time effectively
- Excellent written and verbal communication skills
- Outstanding problem-solving and organizational abilities
1. Minimum 2 years of experience in insurance verification.
2. Proficient in insurance claim processing.
3. Strong English spoken, written communication skills.
4. Knowledge of insurance basics, loss/claims assessment, and risk evaluation.
5. Analytical skills to evaluate fault.
Resolving denied claims, ensuring timely payments, and escalating issues to management when necessary. Effective communication with stakeholders and utilizing analytical skills to evaluate claims.
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