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Insurance Specialist - Accounts Receivable
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- Employees are responsible for insurance follow-up including denial disputes, written appeals, projects, on-line research, and/or phone calls.
- Use proper filtering techniques to ensure high dollar and oldest claims are worked as a priority to avoid untimely follow-up, in addition to grouping similar denials in order to work in an efficient and organized manner.
- Task the office for denials related to no authorization, and Coding Dept for denials related to medical necessity, diagnosis/CPT conflicts, etc.
- Review CCI/CPT for correct billing.
- Identify underpaid/overpaid claims Additional Responsibilities: Access Claims Tracker.
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