1 - 4 years

0 Lacs

Posted:2 weeks ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Key Responsibilities:

  • Perform regular follow-up with insurance companies via phone calls or web portals to check the status of pending claims.

  • Understand and interpret explanation of benefits (EOBs), denial reasons, and insurance correspondence.

  • Take appropriate actions based on the claim status (e.g., re-submissions, appeals, adjustments).

  • Document all actions taken on accounts in the billing system.

  • Work on denials and rejections to resolve issues and ensure payment.

  • Meet daily/weekly productivity and quality targets set by the team lead or manager.

  • Communicate effectively with the billing team, providers, and insurance carriers.

  • Keep updated on payer policies and changes in reimbursement procedures.

  • Escalate unresolved claims or complex issues to senior team members or leads.

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