Account Specialist

• Submit medical claims in accordance with all federal, state, and payer-specific requirements.
• Ensure claims are correctly submitted and paid by reviewing and correcting edits, errors, and denials.
• Investigate and analyze claim errors and rejections to apply necessary corrections.
• Follow up with payers and collect assigned insurance accounts receivable.
• Stay informed about payer updates and process changes for accurate claims submission and follow-up.
• Evaluate reasons for non-payment and take appropriate action to resolve claims for clients.
• Prepare and submit first- and second-level appeals with supporting documentation in accordance with payer guidelines and timelines.
• Identify and document coding, clinical, and registration issues for referral to the appropriate teams to correct claim errors and prevent future denials.
• Escalate stalled claims to the payer or Currance leadership as needed.
• Verify and adjust claims so that client accounts reflect correct liability and balances.
• Perform other duties assigned to support business needs.

Account Resolution Specialist managing medical claims for healthcare revenue cycle.

Account Resolution Specialist II

Account Resolution Specialist managing insurance claims and payments for healthcare clients. Ensuring timely resolution of medical claims and maintaining financial stability for organizations served.

• Engage Hematologists and other key Oncology customers and deliver clinically focused selling messages to support our Multiple Myeloma bispecific antibody, to grow brand share and revenue and to deliver product goals
• Facilitate partnership with multiple collaboration partners; Regional Director, Nurse Educator, Key Account Manager, Territory-based Oncology Account Specialists, and Reimbursement Specialists to proactively resolve customer needs, identify market dynamics and trends, and develop strategies which support brand and corporate objectives in assigned territory
• Develop strong working relationships with aligned designated accounts and specialists
• Execute market profiling activities to ensure a deep understanding of regional and local health care delivery, influencers and payer systems
• Proactively identify business opportunities with assigned accounts and leads appropriate coordination of effort by the Regeneron Oncology account team
• Demonstrates dedication to compliance through understanding regulations and policies that govern customer interactions

Medical Account Specialist II managing accounts for Multiple Myeloma product at Regeneron

Medical Account Specialist II – Hematology

Medical Account Specialist II handling Oncology accounts for Multiple Myeloma product at Regeneron. Engaging key customers and developing strategies to support product goals and compliance.

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Account Resolution Specialist II

Medical Account Specialist II – Hematology