Responsibilities:
· Working EOB denials
· Contacting carrier on denied claims
· Contacting carrier for post claim negotiation of fee
· Prepare written claim appeals
· Sending/following up on appeals to insurance carriers paper and electronically
· Contacting insurance carriers on unpaid claims
· Submitting corrected claims to insurance carriers when necessary
· Maintain strict confidentiality
Experience:
· Knowledge of claim appeal processes and guidelines
· Knowledge of electronic appeal submissions
· Knowledge of Microsoft Word and Excel
· Knowledge of regulatory standards and compliance requirements
· Medical billing experience
Qualifications:
· Attention to detail and accuracy
· Good verbal and written communication skills
· Organizational skills
· Problem analysis and problem solving skills
· Team member
· Able to work independently with minimal supervision
· Time management skills
(SN)
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