Specialist

Key Responsibilities

Contact insurance companies, patients, and healthcare providers to follow up on outstanding medical claims. Resolve payment issues and ensure timely reimbursement for services rendered. Appeal denied claims and correct errors in billing. Analyze remittance advice and maintain detailed records of all communications. Meet daily/weekly/monthly production quality as per project SLAs/Timelines. Follow up with insurance companies on outstanding accounts receivable on behalf of doctors/physicians/RCM companies in the USA. Meet production and quality targets daily. Identify and correct billing errors, resubmitting them to insurance companies.

Qualifications / Requirements

Bachelor's degree or equivalent with a minimum of 6 months of AR domain experience. 1-2 years of experience in AR calling or a related field within the medical services industry. Strong knowledge of RCM denials. Excellent verbal and written communication skills. Analytical thinking and problem-solving abilities. Ability to work in rotational shifts.

Preferred Skills / Attributes

Experience with healthcare billing and claims processing. Familiarity with various insurance company guidelines and procedures. Ability to work independently and as part of a team. Strong attention to detail and organizational skills. Proficiency in using relevant software and systems.