
Claims Resolution Specialist
6 days ago
The Insurance Claims Resolution Specialist will play a critical role in ensuring timely and accurate payment of insurance claims. This position requires excellent analytical and problem-solving skills, as well as the ability to multitask and manage time effectively.
Key Responsibilities:
- Claims appeal and resolution experience
- Perform completion of claims to payers
- Submit billing data to the appropriate insurance providers
- Analysis and resolution of denied claims/cases. Identify and resolve billing issues
- Monitor aging to ensure timely follow-up of claims resolution, reduction of future denials, ensuring accurate payment and escalation of issues to management as identified
- Conduct insurance re-verification as needed through various tools and initiate billings to a new payer or reprocess the claim accordingly
Requirements:
- Minimum 2 years of experience in insurance verification.
- Proficient in insurance claim processing.
- Strong English Spoken, written communication skills.
- Must know the basics of Insurance, assessment of loss/claims & risk evaluations
- Must have the analytical skills to evaluate the party on fault.
What We Offer
- Opportunity to work in a dynamic and fast-paced environment
- Chance to develop and improve analytical and problem-solving skills
- Achieve high levels of job satisfaction through successful claims resolution
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