
Healthcare Claim Specialist
17 hours ago
This role focuses on reducing claim denials and recovering aging or stale claims in a healthcare setting.
The ideal candidate will be detail-oriented with experience in medical billing, claim management, or similar roles. They should thrive in a fast-paced, process-driven environment where accuracy is paramount.
Main Responsibilities:- Login to the client's billing system to review and manage denied or aging claims.
- Analyze claim queues to identify root causes of denials and submit appropriate documentation or corrections.
- Maintain open communication with insurance payers via phone calls to check claim statuses, appeal denials, and resolve payment issues.
- Escalate recurring denial trends or system/process bottlenecks to the client's RCM lead for prompt resolution.
- Keep detailed records of all payer interactions and claim activities.
Key skills and qualifications include excellent organizational and time management abilities, effective communication skills, and a strong attention to detail. If you are a motivated individual with a passion for resolving complex claims issues, we encourage you to apply for this exciting opportunity.
We offer a competitive compensation package and a collaborative work environment that values employee growth and development.
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