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Follow up on hospital billing claims (IP/OP/ER) with insurance payers
Work on aging AR (30/60/90/120+ days) and high-value hospital accounts
Analyze and resolve denials and rejections related to coding errors, DRG/APC issues, authorization & medical necessity, bundling & duplicate claims, timely filing & eligibility
Contact insurance companies through calls and payer portals for claim status and resolution
Correct errors and resubmit UB-04 claims with appropriate documentation
Prepare and submit appeals with medical records and supporting documents when required
Ensure compliance with payer guidelines and hospital billing regulations
Coordinate with coding, clinical, and billing teams to resolve claim issues
Maintain accurate documentation and updates in billing systems
Meet productivity, quality, and turnaround time (TAT) targets
Identify denial trends and suggest process improvement measures
Available for F2F interview and cap facility provided
Job ID: 144928029