Job Description : The Role :
- Claims appeal and resolution experience
- Perform completion of claims to payers
- Submit billing data to the appropriate insurance providers
- Analysis and resolution of denied claims / cases. Identify and resolve billing issues
- Monitor aging to ensure timely follow-up of claims resolution, reduction of future denials, ensuring accurate payment and escalation of issues to management as identified
- Conduct insurance re-verification as needed through various tools and initiate billings to a new payer or reprocess the claim accordingly
- Must have the ability to multitask and manage time effectively
- Excellent written and verbal communication skills
- Outstanding problem-solving and organizational abilities
Job Specification :
1. Minimum 2 years of experience in insurance verification.
2. Proficient in insurance claim processing.
3. Strong English Spoken, written communication skills.
4. Must know the basics of Insurance, assessment of loss / claims & risk evaluations
5. Must have the analytical skills to evaluate the party on fault.
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