Responsibilities will include processing medical claims generated within the practice management software system daily. Batches will be created for each location assigned, claim edits reviewed and appropriate action taken to ensure that claims are clean prior to processing to payors.
Jopb specific taks will also include AR follow-up with insurance payors to correct denied claims including submission of appeal letters, correct claims in accordance with Correct Coding Initiatives (CCI) and all Compliance regulations and work with the clinics to gather information needed to correct and reprocess the claim. Communication of denial trends to Supervisor and Manager to help initiate training to avoid potential denials in the future.
You will work closely with team members and share knowledge of billing with others to have an overall improvement in the team’s performance.
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