Insurance Claims Manager
4 days ago
Primary responsibilities of this position involve handling claims appeal and resolution ensuring timely follow-up on claims resolution. Additional tasks include completing claims to payers, submitting billing data to relevant insurance providers.
- Claims management including the identification and resolution of denied claims/cases as well as any billing issues arising during the process.
- Efficient processing of claims with a focus on resolving discrepancies promptly.
- Maintenance of relationships with insurance providers and payers through effective communication and negotiation skills.
- Analysis and resolution of complex claims-related issues requiring sound judgment and problem-solving abilities.
- Staying up-to-date with industry developments and changes in regulations affecting the insurance sector.
1. Accuracy and Verification: Ensure accurate verification of insurance details for completeness and correctness.
2. Claims Resolution: Process claims efficiently while resolving any discrepancies that may arise.
3. Relationship Building: Develop strong professional relationships with insurance providers and payers.
4. Problem-Solving: Analyze and resolve complex claims-related issues using sound judgment and problem-solving skills.
5. Industry Knowledge: Stay updated on industry developments and changes in regulations affecting the insurance sector.
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