- Remote, United States
- Remote
- Full-time · Associate
- 2+ years
Responsible for follow-up on outstanding claims, researching claim denials, composing and submitting appeals, and handling any necessary claim correspondence necessary to have a claim processed.
Responsibilities
- Complete assigned tasks to meet productivity requirements for claims resolution and complete any progress in worklog tasks
- Stay current with insurance payer policies as well as state and federal regulations for claim submission and reimbursement
- Examine any overpayments to determine if monies need to be returned to payer or patient
- Document all follow-up calls and research clearly in task notes
- Compose appeal letters where needed and complete any payer forms required for submitting the appeals
Requirements
- High school diploma or equivalent
- Nice to have: Coding Certification
- Nice to have: Nextech knowledge