Job Description:
Conduct pre-call analysis.
Experience in contacting insurance providers to inquire about medical and insurance claim statuses.
Perform post-call analysis and take necessary actions based on the obtained claim status, following client protocol.
Proficiency in denial management to handle denials, rejections, and AR follow-up.
Demonstrated knowledge in modifiers, CPT, and ICD coding.
Maintain confidentiality of patient information and adhere to HIPAA regulations.
Billing experience in E&M/Family practice, DME is added advantage, with Billing software ECW(E-clinical works), All scripts.
Strong RCM knowledge & possess good knowledge of HIPPA, CPT codes, Appeals & denial management.
Good Analytical Skill and problem-solving abilities