Claim Resolution Expert III

4 days ago


Fort Lauderdale, Florida, United States UROPARTNERS LLC Full time
About the Role

As a Claim Resolution Expert III at UROPARTNERS LLC, you will play a crucial role in ensuring timely and accurate payment from third-party insurance payers. Your expertise in medical billing and claims resolution will help us maintain high-quality patient care while minimizing financial losses.

To succeed in this position, you will need a strong understanding of business operations, medical terminology, and healthcare coding systems. You will also possess excellent communication and analytical skills, with the ability to work independently and manage deadlines.

The estimated salary for this position is $65,000 - $85,000 per year, depending on location and experience. We offer a comprehensive benefits package, including health insurance, retirement plans, and paid time off.

Your responsibilities will include:

  • Reviewing and resolving claim denials, conducting follow-up, appeals processing, claim statusing, and appeals template management when necessary
  • Developing and maintaining a working knowledge of payer contractual requirements, particularly initial filing periods, appropriate follow-up, and appeal protocols
  • Collaborating with Coders, Claim Readiness Specialists, and Business Office staff to resolve errors and clarify issues

We are committed to providing ongoing training and education to support your growth and development in this role.



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