Appeals and Denials - Experienced Professional (Chennai)

Appeals and Denials - Experienced Professional (Chennai)

15 Oct
|
Savista
|
Chennai

15 Oct

Savista

Chennai

- Any UG degree
- Sound knowledge about medical billing process and guidelines with in-depth understanding of verifying patient information with the concerned insurance providerReviews all denial accounts for categorization, level of appeal, special requirements for initiating appealsShould have experience in handling more complex/aged inventory and works on assigned accounts towards resolution Utilizes denial reports to assess root causes and identify trends

- Share findings with stakeholdersShould possess knowledge of third-party payer reimbursement and denial management

- Coordinates timely processing of all appeals at all levels, i e, initial appeals, second level response, progress reports

- Resolving moderately routine questions following pre-established guidelines

- Performing routine research on customer inquiries

- Understand the client requirements and specifications of the projectEnsure that deliverable to the client is adhered to the quality standards, productivity and turnaround time





- Abstract clinical data from the record after documentation review to ensure that it is adequate and appropriate to support diagnoses and procedures selected

- Complete assigned work functions utilizing appropriate resources

- May act as a resource with client staff for data integrity, clarification and assistance in understanding and determining appropriate and compliant coding practicesMaintain strict patient and provider confidentiality in compliance with all federal, state, and hospital laws and guidelines for release of information

- Support Savista Compliance Program by demonstrating adherence to all relevant compliance policies and procedures as evidenced by in-service attendance and daily practice; notifying management when there is a compliance concern or incident; demonstrating knowledge of HIPAA Privacy and Security Regulations as evidenced by appropriate handling of patient information; promoting confidentiality and using discretion when handling patient and/or client information

📌 Appeals and Denials - Experienced Professional (Chennai)
🏢 Savista
📍 Chennai

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