Current Employment Status:
Hired Full Time on Oct 24, 2023
• Verified patient’s eligibility to various payer’s portals.
• Work on denial and rejected claims to completion in a timely manner.
• Conduct audits and coding reviews to make sure data entered into the system is correct and accurate.
• Submit claims and corrected claims to various payer portals/fax or electronically.
• Check the payment posting if correct per the EOB. Create batches daily for payment reconciliation.
• Manage correspondence from the payers and process the claim accordingly.
• do outbound calls to clarify denial and rejection reasons.
• Reviewing correspondence letter from the payer
• Knowledge of Nextgen, EHR for medical records, and document management
Experience: 5 - 10 years
denial and rejection management, claim processing, appeals, prior authorization, outbound calls to payers, payment reconciliation, Eligibility and Verification, Experience with Medical Portals, RCM providers enrollment
“I can find little blocks of time to focus so we can scale this business.”
Clearman Lawyers
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