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Medical Billing Specialist (Male Candidate)

0 - 1 years

5 - 8 Lacs

Posted:13 hours ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Our client, a leading AI platform specializing in medical billing operations, is seeking dedicated and detail-oriented

Medical Billing and Insurance Claims Specialists

to join our team. The ideal candidates will have at least

6 months of experience

in medical billing, insurance claims, or a related field and possess strong

English proficiency

. As part of our client-facing team, you will be providing vital support to client operations by ensuring accurate and compliant medical billing operations through outbound calling, data categorization, and transcript analysis.

Key Responsibilities:

  1. Outbound Calling:

    • Make outbound calls to insurance companies and payors to collect essential information, including claim statuses, denial reasons, and any additional relevant details.
    • Conduct all calls in full compliance with the companys guidelines and applicable healthcare regulations.
    • Maintain professionalism and ensure clear communication during each call.
  2. Data Categorization and Labeling:

    • Accurately record, categorize, and label calls or information gathered using the taxonomy and definitions provided by the client.
    • Ensure all claim statuses and call outcomes are properly labeled for consistency in reporting and easy analysis.
    • Deliver categorized data in periodic reports or through the portal developed by client, following the requested format and frequency.
  3. Call Transcript Analysis:

    • Analyze recorded call transcripts to extract actionable insights, identifying trends, recurring denial reasons, and other patterns.
    • Compile findings into periodic reports, providing valuable information to the Client to support process improvements and optimize workflows.

Qualifications:

  • Minimum of 6 months

    of experience in medical billing, insurance claims, or a related field.
  • Strong

    English proficiency

    , both verbal and written.
  • Familiarity with healthcare regulations and industry guidelines.
  • Excellent communication skills with the ability to make outbound calls to insurance companies and payors.
  • Detail-oriented and able to maintain accurate records.
  • Ability to work independently while adhering to internal guidelines and procedures.
  • Proficiency in Microsoft Office Suite or similar software; experience with medical billing software is a plus.

Additional Information:

This is a full-time position, and the successful candidate will work closely with the clients team to support their AI-powered platform in improving medical billing operations. The role offers an opportunity for professional growth and development within a dynamic, technology-driven environment.

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