Medical Billing Dispute Resolution Professional

1 day ago


Lahore, Punjab, Pakistan beBee Careers Full time

We are seeking an expert in out-of-network negotiations to join our team. The ideal candidate will have a strong background in healthcare reimbursement, contract negotiations, and resolving billing disputes.

Job Requirements:
  • Negotiate out-of-network reimbursement rates with healthcare providers, payers, and facilities.
  • Review and resolve billing disputes, underpayments, and denied claims.
  • Familiarize yourself with Texas Medicaid, Medicare, and commercial insurance policies.
  • Develop effective relationships with insurance companies, medical providers, and patients.
  • Stay up-to-date on Texas state regulations and payer policies.
  • Analyze fee schedules, contracts, and reimbursement trends.
  • Maintain accurate documentation and provide detailed reports.
Essential Qualifications:
  • At least 2 years of experience in out-of-network negotiations or medical claims resolution.
  • Texas-specific experience is necessary.
  • Strong understanding of medical billing, coding, and reimbursement methodologies.
  • Excellent negotiation, communication, and problem-solving skills.
  • Proficiency in Microsoft Office and claims management software.
  • Ability to work independently and manage multiple cases efficiently.

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