Excellent Communication Skills and Analytical Skills
AR callers with 2+ Years of RCM Experience (Physician Billing).
Hands-on knowledge of US healthcare billing, payers, claims processing, and AR denial management.
Good knowledge and understanding of Provider Information & Patient Information as it impacts claim resolution.
Ability to analyse complex payment and denial issues with attention to detail.
Review and analyse assigned claims, checking their status through payer communication, IVR, or web portals.
Conduct detailed follow-up on unpaid or denied claims, including calling payers and submitting necessary documentation to resolve issues.
Handle complex denial management by investigating rejection reasons and preparing appeals.
Proficient in medical billing software including advanced platforms like AdvancedMD, NextGen, Epic, eCW, Greenway, Centricity G4.
Knowledge of Clearing House Rejections/Denials and its resolution
Knowledge of Payor Denials and Resolution
Knowledge of Appeals Process - Form types/Documents related to Appeals, Online Appeals
* Basic coding knowledge - ICD/CPT, E/M codes, code Series, Modifiers in Physician billing
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