Insurance Claims Professional: Frequently Asked Questions
What is an Insurance Claims Professional or Medical Benefits Specialist?
These professionals are advocates for the patient. They have a keen understanding of the medical claims process: how providers generate a bill; how insurance companies and Medicare process and pay medical bills; where the pitfalls are in the process and how to solve the problems that plague so many patients today. A Medical Benefits Specialist can manage your health insurance claims for you from start to finish, ensuring that you receive the benefits to which you are entitled under your policy.
Who needs an Insurance Claims Professional?
At MRR, we assist patients who are recovering from a serious illness or who are chronically ill and unable to manage their claims; we help patients who are frustrated by a single claim or many; we work for dual professional couples with children who are too busy to keep track of their claims; we work for seniors who find it difficult understanding Medicare (A, B, C & D) and their additional insurance. We can advocate for any patient who has questions about his medical bills, insurance claims, and insurance benefits and coverage.
Does it matter where I live?
No, we have assisted clients from across the United States and in foreign countries.
How do you charge for your services?
Normally we charge by the hour and we encourage clients to call us and take advantage of our complimentary phone consultation during which we can assess your situation, how long it may take to resolve your issue and give you an idea of what our services will cost.
How do I know if my insurance company is paying what they are supposed to? Why was my claim denied? Can I appeal this denial? Why is my medical bill so high?
These are legitimate questions from patients frustrated by today’s medical claims process. MRR’s medical claims specialists understand the medical claims process and will review your insurance plan(s) to ensure that all claims are processed and paid correctly. We will explain how your plan works and how your provider bills. We will represent you when a claim has not been processed according to your plan and file appeals on your behalf. At the end of the year we can provide you with a spreadsheet of your annual out of pocket medical expenses.
Can you help me select the best insurance plan?
We frequently consult with individuals and companies to identify the best health insurance plan for their needs. In addition, we assist seniors with the choice of Medicare Part D drug plans, Medicare Part C Advantage plans and Medicare supplemental plans. We do not sell insurance.