Responsibilities:
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 effective intake and authorization processes