Job Description

Job Summary: We are looking for a driven and curious Claims Processing Executive (CPE) to join our growing dynamic medical billing team. The ideal candidate will perform all activities involved in the preparation, insurance verification and retrieval of medical records for US Workers' Compensation claims. The CPE will act as the liaison between key Client contacts and insurance companies primarily through phone. Key Responsibilities: o Analyse and evaluate worker's compensation claim payments using client proprietary software, systems and tools. Use payment documentation provided by payers to determine if the medical provider has been reimbursed in compliance with the applicable state worker's compensation fee schedule and/or PPO contract. o Research, request and acquire all pertinent medical records, implant manufacturer's invoices and any other supporting documentation necessary and then submit with hospital claims to insurance companies to ensure prompt correct claims reimbursement. o Conduct timely and thorough telephone follow-up with payers to ensure claims with supporting documentation have been received and facilitate prompt reimbursement. o Prepare correct Workers' Comp initial bill packet or appeal letter using Client systems tools and submit with all necessary supporting documentation to insurance companies. o Other duties as required.
Job Types: Full-time, Fresher

Pay: ?20,000.00 - ?30,521.24 per month

Work Location: In person