Understand how to analyze and resolve unpaid claims.
Interact with the US-based insurance companies.
Follow up on unpaid and delayed submitted claims
Follow up and resolve denied claims.
Experience reading and 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.
Should be able to track and follow up on claims within given Deadline.
Experience in Personal Injury and Workers Comp AR will be a big plus.
Must achieve daily targets of 70-75 resolutions per day.
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