Initiate calls requesting status of claims in queue.
Contact insurance companies for further explanation of denials and underpayments.
Take appropriate action on claims to guarantee resolution.
Ensure accurate and timely follow-up where required.
Document actions taken in claims billing summary notes.
To prioritize the pending claims for calling from the aging basket. To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance.
Responsible for working on Denials, Rejections, LOAs to accounts, making required corrections to claims.
Good voice and demonstrate professional demeanor via phone.
Good organizational skills demonstrating the ability to execute timely follow-up.
Ability to multi-task.
Excellent analytical skills with understanding of health care claims processing.
