Medical Claims Specialist

hace 3 semanas


Bogotá, Bogotá D.E., Colombia Solvo Global A tiempo completo

Job Description: Solvo Global is seeking a skilled Medical Claims Specialist to join our team in Colombia. As a key member of our team, you will be responsible for ensuring patient eligibility and benefits for upcoming visits, obtaining and managing pre-authorizations for outpatient and inpatient services, accurately entering medical charges electronically, and preparing and submitting claims.

Key Responsibilities:

  • Ensure patient eligibility and benefits for upcoming visits
  • Obtain and manage pre-authorizations for outpatient and inpatient services, coordinating with clinicians as needed
  • Accurately enter medical charges electronically based on final diagnoses and procedures
  • Prepare and submit claims, tracking them through the billing process
  • Monitor claims until payment is received, including managing collections if necessary

Qualifications:

  • CPB (Certified Professional Biller) certification preferred
  • Experience with various billing and collections systems
  • Strong organizational and communication skills
  • Ability to efficiently manage claim denials and collections

Compensation: The estimated annual salary for this position is between $45,000 - $60,000 USD, depending on experience. This figure includes a base salary plus potential bonuses for meeting performance targets.


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