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Our client, a leading AI platform specializing in medical billing operations, is seeking dedicated and detail-oriented Medical Billing and Insurance Claims Specialists to join our team. The ideal candidates will have at least 1 year of experience in medical billing, insurance claims, or a related field and possess robust English proficiency. As part of our client-facing team, you will be providing vital support to client operations by ensuring accurate and compliant medical billing operations through outbound calling, data categorization, and transcript analysis.

Key Responsibilities:

- Outbound Calling:
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Make outbound calls to insurance companies and payors to collect essential information, including claim statuses, denial reasons, and any additional relevant details.

- Conduct all calls in full compliance with client guideline and applicable healthcare regulations.

- Maintain professionalism and ensure clear communication during each call.

- Data Categorization and Labeling:

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Accurately record, categorize, and label calls or information gathered using the taxonomy and definitions provided by the client.





- Ensure all claim statuses and call outcomes are properly labeled for consistency in reporting and easy analysis.

- Deliver categorized data in periodic reports or through the portal developed by client, following the requested format and frequency.

- Call Transcript Analysis:

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Analyze recorded call transcripts to extract actionable insights, identifying trends, recurring denial reasons, and other patterns.

- Compile findings into periodic reports, providing valuable information to support process improvements and optimize workflows.

Qualifications:

- Minimum of 6 months of experience in medical billing, insurance claims, or a related field.

- Strong English proficiency, both verbal and written.

- Familiarity with healthcare regulations and industry guidelines.

- Excellent communication skills with the ability to make outbound calls to insurance companies and payors.

- Detail-oriented and able to maintain accurate records.

- Ability to work independently while adhering to internal guidelines and procedures.

- Proficiency in Microsoft Office Suite or similar software; experience with medical billing software is a plus.

📌 Medical Billing Specialist (India)
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