Job Description
Should have experience in working with US federal insurances.
Should possess knowledge in Analysis, AR calling and denial management.
Should have experience in understanding all major insurance EOBs
Work with AR reports to identify problems on accounts, research accounts/trends and take appropriate actions to promote reimbursement, bill primary and secondary carriers for services provided, and collect on past due accounts.
Research accounts: request additional information such as referrals, scripts, medical reports, and/ or call hospitals.
- .Follow up on rejected claims, and appeal denials; develop and track written correspondence.
Complete adjustments, check refund request forms, and special transaction forms.
Work with edit reports to identify problems with transmission claims.
Work EOBs to post denial codes,
Identification of Issues. Review and Action on Call Notes.
Job Particulars
About Company
