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4 months ago
This position is responsible for posting and monitoring payments from insurance companies. The individual will respond to patient and payer inquiries and concerns. Performs claims follow-up and denial management processes by examining, correcting, preventing and analyzing claim rejections and denials in the timeframes set by administration. This position will initiate claims resubmission and appeals.
Will require ability to work under pressure, resolve registration, coding and payer edits while performing root-cause analysis and adoting preventative measures. Will perform other related duties as needed to maintain department cost containment, efficiency, and quality of performance.