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Healthcare Claims Specialist
2 months ago
Job Title: Healthcare Claims Specialist
About the Company: Become an integral part of our reputable establishment, where you will contribute significantly to the precise management of healthcare claims and billing processes.
Key Responsibilities:
- Claim Preparation:
- Examine and accurately classify diagnoses, procedures, and services from patient documentation.
- Utilize coding systems that adhere to insurance standards and regulations.
- Confirm patient insurance eligibility and benefits.
- Claim Submission:
- Compile and dispatch claims to insurance providers or governmental payers.
- Send claims electronically or through postal services.
- Ensure all requisite information is included for timely processing.
- Claim Follow-Up:
- Monitor claim progress and promptly address any unpaid or denied claims.
- Engage with insurance companies to resolve discrepancies and payment delays.
- Investigate and rectify claim denials and coding inaccuracies.
