Managing health insurance claims follow-up with insurance companies and patients.
Managing claims denials and appeals processes.
Keep informed of all the changes in rules and regulations in insurance carriers
Check different updates related to Govt. and Commercial Insurance
Research and resolve payment discrepancies
Maintain accounts receivable customer files and records
Utilizes payer websites for effective follow-up and claim re-bills.
Ability to read and explain the Explanation of Benefits
Knowledge of third-party billing policies, regulations, etc.
Identify and correct billing errors
Re-submit claims to insurance carriers
Key Competencies & Skills Required:
Minimum Bachelor’s degree required
Minimum 1-2 years of experience
Participate in proactive team efforts to achieve departmental and company goals