Focus on Rejections, denials management and unpaid claims
Responsible for managing primary/secondary/tertiary claims aging reports
Communicate directly with insurance payers to resolve claims issue.
Create and file appeals as necessary
Check the correct status of AR follows up denials/ payments by directly calling insurance companies.
Verify the reason of denial or delay in payment of claim and to identify what all steps needs to be taken.
Effectively communicates coding/billing issues which are causing denials to Charge Entry team and Accounts Manager
Responsible with account coordinator to implement back up coverage and assignment of files when out of the office.