- Have positive Knowledge in Denial management
- Follow up with Insurance carriers for claim status.
- Follow up insurance carriers to check the status of outstanding claims.
- Receive payment information if the claims have been processed.
- Ensure deliverables adhere to quality standards.
- Candidate with complete AR scenarios knowledge
- Complete RCM Knowledge.
- Terminologies of US Medical Billing
- Handle Hospital or Physician billing
- Monitoring and responding to prior authorization requests
- Keeping accurate records of authorization information
- Approving or authorizing prior authorizations over the phone, online, or by fax
- Creating efficient intake and authorization processes