
Dedicated Medical Claims Specialist
3 days ago
- This role requires strong expertise in medical billing, coding, and denials management.
The ideal candidate will have a solid background in HITECH and HIPPA rules and regulations. A Bachelor's degree in any discipline, with a medical background preferred.
Key Responsibilities:- Manage the entire medical billing cycle from submission to payment receipt.
- Develop effective relationships with healthcare providers and payers.
- Conduct thorough reviews of claims for accuracy and completeness.
- Prepare and submit appeals for denied claims.
- Provide exceptional customer service to internal and external stakeholders.
Required Skills and Qualifications
- At least 6 months of experience in medical billing, claim follow-up, and insurance calls.
- Excellent verbal and written communication skills in English.
- Offshore call center experience is an asset.
- Knowledge of medical terminologies and attention to detail.
- Ability to multitask and work effectively in a team environment.
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