Medical Claims Analyst

hace 7 días


Alajuela, Alajuela, Costa Rica 3M A tiempo completo

**Role Summary**

The Outbound Analyst will serve as the primary point of contact for customers, 3M KCI, and third-party payers, ensuring that orders meet regulatory and payer requirements. This individual will be responsible for analyzing and prioritizing work, communicating with internal and external stakeholders, and fostering customer relationships.

Responsibilities:**

  • Analyze and prioritize work to ensure timely completion of tasks
  • Understand and interpret third-party payer benefits and eligibility
  • Conduct in-depth reviews of clinical documentation based on billing criteria
  • Communicate with internal and external stakeholders to obtain missing documentation
  • Foster customer relationships and develop loyalty with clinical providers
  • Meet production expectations based on department priorities

Requirements:**

  • At least 1 year of call center experience
  • High school diploma or equivalent
  • Advanced English language skills (C1)
  • Flexibility and adaptability in schedule, workflow processes, and priorities
  • Demonstrated customer service skills and problem-solving abilities


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