Billing Claims Manager

5 days ago


Rawalpindi Cantonment, Pakistan PMTAC Private Limited Full time
Job Requirements
To be successful as a Post-Submission Claims Coordinator, you will need to have a strong focus on claim follow-up, denial management, and efficient resolution of OON claims. You will be responsible for managing and resolving out-of-network claims post-submission, communicating with insurance companies, providers, and patients, and ensuring accurate claim processing.

Responsibilities:
  1. Manage and resolve OON claims post-submission.
  2. Communicate with insurance companies, providers, and patients to address OON issues.
  3. Ensure accurate claim processing, including eligibility verification and benefit coordination.
  4. Track and report OON claim status to ensure timely resolution.
  5. Stay updated on new payers, policies, and industry changes affecting OON claims.


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