Insurance Claims Specialist
5 days ago
Job Summary:
The Insurance Claims Specialist will be responsible for resolving insurance claims in a timely and accurate manner. This role requires strong analytical and problem-solving skills, as well as excellent communication and time management abilities.
About the Role:
- Claims appeal and resolution experience
- Perform completion of claims to payers, ensuring accurate payment and timely follow-up.
- Submit billing data to the appropriate insurance providers, identifying and resolving billing issues.
- Analysis and resolution of denied claims/cases, reducing future denials through proactive monitoring and escalation.
- Conduct insurance re-verification as needed through various tools, initiating billings to new payers or reprocessing claims accordingly.
- Multitasking and effective time management skills are essential.
- Excellent written and verbal communication skills facilitate collaboration with stakeholders.
- Outstanding problem-solving and organizational abilities drive successful claim resolution.
Key Responsibilities:
- Minimum 2 years of experience in insurance verification is required.
- Proficiency in insurance claim processing is necessary.
- Strong English communication skills are essential for success.
- Knowledge of insurance basics, loss assessment, and risk evaluation is required.
- Analytical skills to evaluate fault are critical.
Requirements:
- Strong analytical, problem-solving, and organizational abilities are crucial for this role.
- Effective time management and multitasking skills enable successful claim resolution.
- Excellent written and verbal communication skills facilitate collaboration with stakeholders.
What We Offer:
We offer a dynamic work environment, opportunities for professional growth, and a competitive compensation package.
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