Posted:2 weeks ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Key responsibilities
    • Claim follow-up:

       
      Make outbound calls to insurance companies to check on the status of pending claims and secure payments.   
  • Issue resolution:

     
    Investigate and resolve issues with unpaid or denied claims, which can include appealing denials or correcting errors.   
  • Information gathering:

     
    Ask relevant questions about claims and record the responses accurately.   
  • Patient and client correspondence:

     
    Handle patient and client inquiries and concerns related to billing and payments.   
  • Data management:

     
    Maintain accurate and up-to-date records of all communication and actions taken in the system.   
  • Payment reconciliation:

     
    Review remittance advice to ensure accurate reimbursement and prepare statements as needed.   
  • Internal collaboration:

     
    Work with other departments (like billing and coding) to resolve discrepancies and coding issues.   
Required skills and qualifications
  • Excellent written and oral communication skills.
  • Experience in AR calling, medical billing, or revenue cycle management.
  • Proficiency with medical billing software and insurance claim processing systems.
  • Strong analytical skills and attention to detail.
  • Ability to handle a high volume of calls and manage stress effectively.
  • A high school diploma or equivalent is typically required

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