Experience
Salary
Location
1. Denial Management:
· Analyze and resolve claim denials promptly, identifying root causes and implementing corrective actions.
· Collaborate with billing and coding teams to prevent recurring denials and improve overall claims acceptance rates.
2. Appeals and Resubmissions:
· Prepare and submit appeals for denied claims, providing necessary documentation to support claim reconsideration.
· Monitor the status of appealed claims and take appropriate actions to expedite resolution.
3. Patient Collections:
· Engage in insurance collections activities, including making follow-up calls, and setting up payment plans.
· Provide clear communication to address inquiries regarding billing and outstanding balances.
4. Analysis:
· Analysis of generated reports on denial trends, collection activities, and outstanding balances, providing insights for process improvement.
5. Collaboration with Internal Teams:
· Work closely with billing, accounts receivable, and customer service teams to ensure a cohesive and effective approach to denial management and patient collections.
Qualifications:
· Excellent attention to detail and accuracy in data entry and documentation.
· Strong analytical and problem-solving skills.
· Effective communication skills, both verbal and written.
· Ability to work independently and collaboratively within a team.
Denial Management and Collections Specialist
Claims ProcessingData EntryDenial ManagementMedical BillingRCM
Healthcare
Healthcare Management
Full Time
Bachelor Degree
Work From Office
30 Minutes
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