
Oncology Operations Specialist
7 days ago
**Job Summary:**
We are seeking an experienced Billing Resolution Manager to join our team at PMTAC Private Limited. The ideal candidate will have a strong focus on claim follow-up, denial management, and efficient resolution of Out-of-Network claims.
The primary responsibility of this role is to resolve OON claims post-submission, including denials and underpayments. This involves communicating with insurances, providers, and patients to address OON issues. Additionally, the successful candidate will ensure accurate processing of claims, track and report OON claim status, and stay updated on new payers and industry changes affecting OON claims.
The ideal candidate will possess exceptional communication, problem-solving, and organizational skills. Proficiency in Excel and a minimum graduation degree are also required. Experience in OON claim resolution, specifically focusing on post-submission issues, is highly valued.
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.
Benefits:
- Out-of-Network bonus.
- A supportive work environment.
- Opportunities for career growth and professional development.
- Competitive salary and monthly bonuses.
- Comprehensive training for success in the role.
- Medical Insurance for self, spouse, and children.
- Increments upon successful completion of the probation period.
- Bi-annual increments.
- Travel allowance (For Female Employees).
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