Senior Account Resolution Specialist

5 days ago


Rawalpindi Cantonment, Pakistan PMTAC Private Limited Full time
Job Description
PMTAC Private Limited is looking for an experienced Senior Account Resolution Specialist to join our team. As a Senior Account Resolution Specialist, you will be responsible for managing and resolving out-of-network claims post-submission. Your primary focus will be on claim follow-up, denial management, and efficient resolution of OON claims.

Responsibilities:
  • Manage and resolve out-of-network claims post-submission.
  • Communicate with insurance companies, providers, and patients to address OON issues.
  • Ensure accurate claim processing, including eligibility verification and benefit coordination.
  • Track and report OON claim status to ensure timely resolution.
  • Stay up-to-date on new payers, policies, and industry changes affecting OON claims.


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