Medical Claims Resolution Specialist
6 days ago
At ABCS, Inc., we are seeking a Medical Claims Resolution Specialist to join our team. This role is ideal for individuals who excel in resolving complex medical claims and possess excellent communication skills.
We estimate the salary for this position to be around $65,000 - $80,000 per year, depending on location and experience.
About the RoleThe Medical Claims Resolution Specialist will be responsible for resolving medical claims that are not automatically adjudicated by our claims processing system. This involves conducting additional investigations, communicating with stakeholders, and ensuring timely and accurate resolution according to our divisional standards of quality and productivity.
Our Specialists work under various conditions, including peak filing seasons, system downtime, inclement weather, holidays, and absenteeism. As such, they must be flexible and able to adapt to changing circumstances while maintaining high productivity levels.
Key Skills and QualificationsTo succeed in this role, you will need:
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