Keplr Vision

The Claims Specialist is responsible for managing and resolving outstanding insurance and patient accounts to ensure timely reimbursement. This role involves investigating claim denials, submitting appeals, and collaborating with internal teams to improve revenue cycle performance.

Responsible for implementing and maintaining billing plans, funding systems, and payer contract configurations to support the billing department. The role involves troubleshooting system application issues and validating that claims are paid according to contractual obligations.

Manage end-to-end patient statement workflows and resolve billing discrepancies across multiple practices. Coordinate with internal teams and external vendors to ensure accurate processing of insurance and financial transactions.

The role focuses on transforming raw marketing and patient engagement data into structured insights to improve campaign effectiveness and ROI. It involves building performance reporting frameworks and conducting A/B testing to drive patient acquisition and retention.