Description
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We are seeking a detail-oriented and experienced Medical Claims Agent to join our team. The successful candidate will be responsible for processing and managing medical claims, ensuring accuracy, and timely reimbursement. This role requires strong analytical skills, proficiency in medical billing and coding, and excellent communication abilities.
Key Responsibilities:
Claims Processing: Accurately review, process, and submit medical claims to appropriate payers, ensuring adherence to company policies and regulatory guidelines.
Documentation Review: Examine patient records and medical documentation to verify completeness and correctness before claim submission.
Denial Management: Investigate and resolve denied or rejected claims by coordinating with insurance companies, healthcare providers, and patients to facilitate claim adjustments or appeals.