Responsibilities
- Review and analyze denial claims from insurance payers.
- Research and resolve denials through effective follow-up and communication with insurance companies.
- Prepare and submit appeals for denied claims in accordance with company policies.
- Maintain accurate records of all claims and denials for reporting purposes.
- Work collaboratively with billing and coding teams to ensure accurate claim submission.
- Identify trends in denials and provide feedback to management for process improvements.
Skills and Qualifications
- 1-4 years of experience in medical billing or accounts receivable management.
- Strong knowledge of medical terminology and healthcare billing processes.
- Familiarity with insurance claim processes and denial management.
- Proficient in using billing software and electronic health record (EHR) systems.
- Excellent communication and negotiation skills to interact with insurance representatives.
- Detail-oriented with strong analytical skills to assess claim denials and identify resolution paths.
with regards,
shalini R
[Confidential Information]
