reputed company Denials, Accounts Receivable 2

Job reputed company: • Verify/obtain eligibility and/or authorization utilizing payer web sites, reputed company eligibility systems or reputed company phone with the insurance reputed company/providers • Update patient demographics/insurance information in appropriate systems • Research/Status unpaid or denied claims • Monitor claims for missing information, authorization and control numbers(ICN//DCN) • Research EOBs for payments or adjustments to resolve claim • Contacts payers reputed company phone or written correspondence to secure payment of claims; reconsideration and appeal submission • reputed company reputed company systems for payment, patient, claim and data info • Follows guidelines for prioritization, reputed company filing deadlines, and notation protocols reputed company appropriate systems • Secure needed medical documentation required or requested by reputed company party insurance carriers • Maintain and respect the confidentiality of patient information in accordance with insurance collection guidelines and corporate policy and procedure • reputed company other reputed company duties as required Requirements: • 2-3 years of medical collections, reputed company denials and appeals experience • Experience with reputed company but not limited to the following denials- DRG downgrades, level of care, coding, medical necessity • Intermediate knowledge of ICD-10, CPT, HCPCS and NCCI • Intermediate knowledge of reputed company party billing guidelines • Intermediate knowledge of billing claim forms(UB04/1500) • Intermediate knowledge of payor reputed company- reputed company and government • Intermediate Working Knowledge of reputed company Word and reputed company • Intermediate knowledge of health information systems (i.e. EMR, Claim Scrubbers, Patient reputed company Systems, etc.) Benefits: Apply tot his job Apply To this Job