
Medical Claims Specialist
14 hours ago
We are seeking an experienced professional to fill a Medical Billing Specialist position within our expanding team.
About the Role- Verify patient eligibility and benefits for various treatments, hospitalizations, and procedures.
- Review and verify patient bills for accuracy and completeness, and obtain any necessary information.
- Follow up on unpaid claims within the standard billing cycle timeframe.
- Communicate with insurance companies regarding payment discrepancies.
- Identify and process secondary or tertiary insurance claims.
- Collaborate with colleagues to resolve complex issues and ensure seamless workflow.
- Maintain accurate records of customer interactions and transactions.
- 6 months to 1 year of experience in a BPO environment handling US Healthcare accounts.
- Excellent working knowledge of medical claims, benefits, eligibilities, and appeals.
- Familiarity with US Healthcare Insurance (Medicare, Medicaid).
- Strong verbal and written communication skills in English.
- Ability to empathize with customers and remain patient under pressure.
- Effective problem-solving skills and adaptability in a fast-paced environment.
- Proficiency in using computer systems and relevant software.
- Able to work flexible hours, including night shifts.
- Competitive salary and comprehensive benefits.
- Health Insurance with free dependents.
- 10% night differential.
- Attendance Bonus.
- Paid time off.
- Convertible leave credits.
- Performance Appraisal.
- Work-life balance.
- Ongoing career growth opportunities.
- Strong culture driven by leadership values.
- Opportunities for continuous learning and innovation.
- Inclusive environment fostering employee growth.
- Entry-level position.
- Full-time employment.
- Specialized services.
- IT Services and IT Consulting.
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