Title AR-PA

As a Medical Claims Specialist, you will be responsible for preparing and submitting medical claims to insurance companies accurately and in a timely manner. Your key responsibilities will include: - Ensuring that all required documentation, such as medical records and invoices, is attached to support the claims - Regularly following up on unpaid or underpaid claims with insurance companies - Using various communication channels, including phone calls and written correspondence, to resolve outstanding issues - Investigating and addressing claim denials promptly - Determining the reasons for denials and taking corrective actions to reprocess or appeal denied claims - Communicating effectively with insurance representatives to resolve claim issues and obtain information - Establishing and maintaining positive relationships with insurance companies to facilitate smoother claims processing - Communicating with patients regarding their account balances, explaining any insurance-related matters or financial responsibilities - Assisting patients with questions related to billing and insurance - Following the organization's policies, procedures, and compliance standards - Staying informed about changes in healthcare regulations that may impact billing practices Qualifications Required: - Any graduate - Prior calling experience would be an added advantage - Fluent verbal communication abilities - Willingness to work in night shift (US shift) - Good understanding of the overall Revenue Cycle Management to effectively work on AR In addition, you will be compensated as per industry standards. Thank you for considering this opportunity! As a Medical Claims Specialist, you will be responsible for preparing and submitting medical claims to insurance companies accurately and in a timely manner. Your key responsibilities will include: - Ensuring that all required documentation, such as medical records and invoices, is attached to support the claims - Regularly following up on unpaid or underpaid claims with insurance companies - Using various communication channels, including phone calls and written correspondence, to resolve outstanding issues - Investigating and addressing claim denials promptly - Determining the reasons for denials and taking corrective actions to reprocess or appeal denied claims - Communicating effectively with insurance representatives to resolve claim issues and obtain information - Establishing and maintaining positive relationships with insurance companies to facilitate smoother claims processing - Communicating with patients regarding their account balances, explaining any insurance-related matters or financial responsibilities - Assisting patients with questions related to billing and insurance - Following the organization's policies, procedures, and compliance standards - Staying informed about changes in healthcare regulations that may impact billing practices Qualifications Required: - Any graduate - Prior calling experience would be an added advantage - Fluent verbal communication abilities - Willingness to work in night shift (US shift) - Good understanding of the overall Revenue Cycle Management to effectively work on AR In addition, you will be compensated as per industry standards. Thank you for considering this opportunity!