Health Insurance Specialist Question:

Explain how do you deal with rejected or unpaid claims?

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Answer:

I find out why a claim has either been rejected or left unpaid. If the insurance company has made a mistake in rejecting it, I re-file it after providing further information on why it should have been paid. If the insurance company is right in denying it, I follow up with the client in order to solicit payment.

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How do you manage rejected or unpaid claims?Tell me when you are working on multiple cases at once as a claims specialist, how do you decide which one takes priority over the others?