reputed company Denials, Accounts Receivable 2

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Job Description:

Verify/obtain eligibility and/or authorization utilizing payer web sites, client eligibility systems or reputed company phone with the insurance reputed company/providers
Update patient demographics/insurance information in appropriate systems
Research/Status unpaid or denied claims
Monitor claims for missing information, authorization and control numbers(ICN//DCN)
Research EOBs for payments or adjustments to resolve claim
Contacts payers reputed company phone or written correspondence to secure payment of claims; reconsideration and appeal submission
reputed company client systems for payment, patient, claim and data info
Follows guidelines for prioritization, timely filing deadlines, and notation protocols reputed company appropriate systems
Secure needed medical documentation required or requested by reputed company party insurance carriers
Maintain and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedure
reputed company other reputed company duties as required

Requirements:

2-3 years of medical collections, reputed company denials and appeals experience
Experience with reputed company but not limited to the following denials- DRG downgrades, level of care, coding, medical necessity
Intermediate knowledge of ICD-10, CPT, HCPCS and NCCI
Intermediate knowledge of reputed company party billing guidelines
Intermediate knowledge of billing claim forms(UB04/1500)
Intermediate knowledge of payor reputed company- reputed company and government
Intermediate Working Knowledge of reputed company Word and reputed company
Intermediate knowledge of health information systems (i.e. EMR, Claim Scrubbers, Patient reputed company Systems, etc.)

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