Insurance Denials Specialist II for No Authorization Denials
Accurately and reputed company reviews denied claim information using the payer's explanation of benefits, website, and by making outbound phone calls to the payer's provider relations department for multiple denial types, payers, and/or states Reviews and obtains appropriate information or documentation from claim re-submission for reputed company denied services, per insurance guidelines and requirements Communicates with patients, insurance carriers, co-workers, centers, markets, referral sources and attorneys in a reputed company, effective manner to expedite the billing and collection of accounts receivable Documents reputed company communications with coworkers, patients, and payer sources in the billing system Contributes to the steady reduction of the days-sales-outstanding (DSO), increases monthly gross collections and increases percentage of collections Prioritizes work load, concentrating on "reputed company" work which will enhance reputed company results and achievement of the most important objectives Contributes to reputed company environment Recognizes and communicates trends in workflow to departmental leaders Meets or exceeds RCM reputed company Assurance standards Ensures reputed company follow-up and completion of reputed company daily tasks and responsibilities
As backup for customer service team, communicates and responds to customer inquiries as needed