Insurance Claims Specialist
3 days ago
We are looking for a skilled Insurance Claims Specialist to join our team at Accumed Practice Management DMCC. As a Medical Approvals Coordinator, you will be responsible for managing out-patient approvals through direct coordination with insurance companies.
Responsibilities:
- Approval Coordination: Manage out-patient approvals via phone calls, online systems, and electronic portals to ensure seamless communication with insurance companies.
- Claims Handling: Handle approvals follow-ups, queries, and rework on requested claims by adding relevant ICDs, providing medical justification, and other supporting documents to achieve high approval rates.
- Service Verification: Ensure that billed services are under insurance coverage and generated bills are accurate, reducing the risk of claim denials.
- Patient Data Management: Maintain up-to-date insurance details, including patient names, member IDs, and insurer/payer IDs, to facilitate efficient claims processing.
Desired Candidate Profile:
- A Bachelor's degree in Healthcare, Insurance, or a related field is required for this position.
What We Offer:
- A dynamic work environment with opportunities for growth and development.
- A competitive compensation package that reflects your skills and experience.
- The chance to work with a reputable healthcare provider committed to excellence.
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