Pending Claims Management Specialist Fresher Job (Remote)

Key responsibilities:

1. Review and analyze pending claims to identify discrepancies, missing information, and required documentation.
2. Work closely with dental clinics to gather necessary information and documentation to support pending claims.
3. Communicate and negotiate with insurance providers to resolve pending claims and ensure timely reimbursement.
4. Maintain accurate and up-to-date records of pending claims, including documentation of communication and follow-up actions.
5. Collaborate with dental clinics to identify patterns or issues causing claim denials or delays and implement proactive solutions.
6. Stay updated on insurance policies, procedures, and coding requirements to ensure accurate claim submissions.
7. Provide guidance and support to dental clinic staff on proper claim documentation and submission procedures.
8. Assist in the preparation and submission of appeals for denied claims when necessary.
9. Monitor pending claims status and follow up with insurance providers to expedite reimbursement.
10. Generate reports and metrics to track pending claims performance and identify areas for improvement.

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