Title AR-PA

As a Medical Claims Specialist, you will be responsible for accurately preparing and submitting medical claims to insurance companies in a timely manner. Your key duties will include ensuring that all necessary documentation, such as medical records and invoices, is attached to support the claims. In addition, you will be required to regularly follow up on unpaid or underpaid claims with insurance companies using various communication channels, including phone calls and written correspondence to resolve any outstanding issues. You will investigate and address claim denials promptly, determining the reasons for denials and taking corrective actions to reprocess or appeal denied claims. Effective communication with insurance representatives to resolve claim issues and obtain necessary information will be crucial. Building and maintaining positive relationships with insurance companies to facilitate smoother claims processing is also a key aspect of this role. Furthermore, you will be responsible for communicating with patients regarding their account balances, explaining any insurance-related matters or financial responsibilities. Assisting patients with questions related to billing and insurance will also be part of your responsibilities. It is essential to adhere to the organization's policies, procedures, and compliance standards while staying informed about changes in healthcare regulations that may impact billing practices. To excel in this role, you should possess a graduate degree and prior calling experience would be advantageous. Fluent verbal communication skills and the willingness to work night shifts (US shift) are essential. A good understanding of the overall Revenue Cycle Management to effectively work on Accounts Receivable (AR) will be beneficial. The compensation for this position will be as per industry standards. If you are someone who is detail-oriented, possesses strong communication skills, and has a good understanding of medical billing practices, then this opportunity as a Medical Claims Specialist is for you. Join our team and contribute to efficient and effective medical claims processing.,