
Insurance Claims Specialist
1 day ago
Overview: We are seeking an experienced Insurance Claims Specialist to join our team. The ideal candidate will have a proven track record of resolving complex claims and possess excellent analytical and communication skills.
Key Responsibilities include:
- Claims appeal and resolution experience
- Completion of claims to payers, including submission of billing data to insurance providers
- Analysis and resolution of denied claims/cases, identifying and resolving billing issues
- Monitoring aging to ensure timely follow-up of claims resolution, reduction of future denials, and accurate payment
- Conducting insurance re-verification as needed, initiating billings to new payers or reprocessing claims accordingly
- Minimum 2 years of experience in insurance verification
- Proficient in insurance claim processing
- Strong English spoken and written communication skills
- Familiarity with insurance basics, loss/claims assessment, and risk evaluations
- Ability to evaluate parties at fault analytically
- Opportunity to work on complex claims and develop problem-solving skills
- Collaborative team environment with opportunities for growth and development
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