Responsibilities:
Claims Follow-Up & Resolution
- Initiate calls requesting the status of claims in the queue.
- Contact insurance companies for explanations of denials and underpayments.
- Take appropriate action on claims to ensure timely resolution.
- Document all actions in claims billing summary notes.
- Prioritize pending claims from the aging basket for follow-up.
- Make physical calls adhering to international norms and HIPAA compliance rules.
Denials & Corrections Management
- Work on denials, rejections, and LOAs to accounts.
- Make required corrections to claims to ensure accuracy.
Information Security & Compliance
- Follow the organization's information security policies.
- Protect the confidentiality, integrity, and availability of all information assets.
- Report any incidents related to information security to the concerned authorities.
