
Medical Claims Examiner
3 days ago
Insurance Claims Processor Role
We are seeking a skilled Insurance Claims Processor to handle patient eligibility and claims status with insurance companies.
This role requires strong communication skills and the ability to navigate multiple billing software systems.
The ideal candidate will be responsible for verifying patient eligibility, preparing and transmitting claims, and resolving any objections or issues that may arise during the claims process.
Key Responsibilities:
- Verify patient eligibility and claims status with insurance companies via phone calls and web portals.
- Prepare, review, and transmit claims using billing software as required.
- Check each insurance claims status and work out corrective actions for objections from insurance companies.
- Perform payment posting (EOB/ERA) as necessary.
- Edit documents including super bills and upload medical reports.
- Prepare periodical reports as per requirement.
- Making marketing calls to doctors when needed.
Requirements:
To succeed in this role, you must have:
- Excellent communication and interpersonal skills.
- Ability to work accurately and efficiently in a fast-paced environment.
- Strong analytical and problem-solving skills.
- Proficiency in Microsoft Office and relevant billing software.
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