
Clinical Claims Specialist
7 days ago
This is a fantastic opportunity for an experienced professional to thrive in a fast-paced environment and excel at managing medical claims.
Main Responsibilities:- Review and manage denied or aging claims by logging into client billing systems.
- Work claim queues to identify root causes of denials and submit necessary documentation or corrections.
- Make outbound phone calls to insurance payers to check claim statuses, appeal denials, and resolve payment issues.
- Educate clients on recurring denial trends and system/process bottlenecks to optimize revenue operations.
- Maintain accurate records of all payer interactions and claim activities.
- Support additional workflows as needed to ensure efficient revenue management.
- 1-3 years of experience in medical billing, revenue cycle management, or claims follow-up.
- Familiarity with payer portals and billing systems (e.g., Kareo, Athena, AdvancedMD).
- High attention to detail and ability to work independently on repetitive tasks.
- Strong written and verbal communication skills in English.
- Comfortable speaking with payers over the phone and navigating insurance systems.
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