Posted:1 day ago| Platform: Linkedin logo

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Work Mode

On-site

Job Type

Full Time

Job Description

  • Perform pre-call analysis and check status by calling the payer or using IVR or web portal services
  • Maintain adequate documentation on the client software to send necessary documentation to insurance companies and maintain a clear audit trail for future reference
  • Record after-call actions and perform post call analysis for the claim follow-up
  • Provide accurate product/ service information to customer, research available documentation including authorization, nursing notes, medical documentation on client's systems, interpret explanation of benefits received etc prior to making the call
  • Perform analysis of accounts receivable data and understand the reasons for underpayment, days in A/R, top denial reasons, use appropriate codes to be used in documentation of the reasons for denials / underpayments

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