Insurance Claim Resolution Professional

3 weeks ago


Fort Lauderdale, Florida, United States UROPARTNERS LLC Full time
Overview:

As a **Claim Resolution Specialist III**, you will be responsible for ensuring seamless communication between patients, providers, and third-party payers. This role requires excellent organizational skills, attention to detail, and the ability to manage multiple projects simultaneously.

Responsibilities:
  1. Develop and maintain a comprehensive understanding of payer rules and guidelines.
  2. Collaborate with the Business Office Supervisor to escalate claim and denial issues.
  3. Conduct thorough reviews of claim denials and implement effective resolutions.
  4. Ensure accurate and timely documentation of all follow-up activities.
Qualifications:
  • Bachelor's degree in a relevant field (e.g., healthcare administration, business). Equivalent experience may be considered.
  • Minimum 5 years of experience in medical billing, coding, or a related field.

**Salary Range:** $70,000 - $90,000 per year.



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