Entry Level - Day Analysis - Level 1
Coronis Ajuba
Job Summary
The personnel in this department maximize client reimbursement through accurate and timely entry and processing of reports in accordance with client, company, and compliance standards.
Job Requisites
- Under Graduation Degree – Preferably, Arts and Science
- Communication Skills
- Good Aptitude and analytical skills
- Maximize insurance reimbursement for healthcare practice owners
- Analyze and discover root causes for medical insurance claim denial, underpayment or delay.
- Monitor and reconcile all over age accounts.
- Interact with the US-based insurance carriers to follow-up on unpaid claims, delayed processing, and underpayment.
- Analyze data to discover denial patterns, plan and execute medical insurance claim denial appeal process.
- Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims.
- Manage assigned receivables portfolio by ensuring outstanding/denied claims are resolved
- Undertake denial follow-up and appeals work, wherever required or as instructed.
- Escalate difficult collection situations to Team Leaders situations and seek education and instruction.