
Healthcare Claims Professional
11 hours ago
We are seeking a skilled Medical Insurance Claim Specialist to work from home. The ideal candidate will have experience with medical insurance claims processing and a strong understanding of the US healthcare industry.
Main Responsibilities:- Identify and resolve issues causing claim denials, underpayment, or delays in processing.
- Communicate effectively with US-based insurance carriers to follow up on unpaid claims and delayed processing.
- Develop and implement strategies for medical insurance claim denial appeal processes.
- Minimum 6 months experience in medical insurance claim analysis and resolution.
- Familiarity with ICD-10, CPT, and HCPC coding systems.
- Knowledge of CMS-1500 and UB-04 claim formats.
- Experience with Vericle Software required.
- Excellent analytical, communication, and problem-solving skills.
- A comfort level working on Eastern Time Zone/US Shift is preferred.
- Good internet access at home is necessary.
- A mobile hotspot is required.
- A laptop/desktop with at least 8 GB RAM is necessary.
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