Billing Claim Resolutions Expert

5 days ago


Rawalpindi Cantonment, Pakistan beBee Careers Full time
Billing Resolution 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.
Why Work with Us?
  • 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, spouse, and children.
  • Increments on successful completion of probation period.
  • Bi-annual increments.
  • Travel allowance (for female employees).


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