Understand how to analyze and resolve unpaid claims.
Voice process with the US-based insurance carriers.
Experience reading, interpreting and entering insurance EOBs.
Understand CMS-1500 and UB-04 claim formats.
Review EOB/ERA denials and Patient history notes to understand and resolve denial on a claim.
Must have an understanding of denial management and appeal process.
Should be able to track and follow up on claims within given timelines.
Must achieve daily targets.
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