Follow up with insurance companies on outstanding and unpaid claims via calls or payer portals.
Analyze and resolve denied, rejected, or underpaid claims by identifying root causes and taking corrective actions.
Initiate and track appeals and claim resubmissions to ensure maximum reimbursement.
Review aging reports and prioritize accounts to reduce AR days and improve collections.
Maintain accurate documentation of calls, claim status, and actions in billing systems.
Coordinate with billing, coding, and internal teams to resolve discrepancies and correct claim errors.
Verify insurance eligibility, benefits, and coverage details when required.
Communicate effectively with insurance representatives to negotiate payments and resolve issues.
Ensure compliance with healthcare regulations and payer guidelines during claim follow-ups.
Meet daily productivity targets, including call volumes and collection goals.
Identify trends in denials and provide process improvement suggestions to enhance billing efficiency.
Skills Required
- Follow up with insurance companies on outstanding and unpaid claims via calls or payer portals.
- Analyze and resolve denied, rejected, or underpaid claims by identifying root causes and taking corrective actions.
- Initiate and track appeals and claim resubmissions to ensure maximum reimbursement.
- Review aging reports and prioritize accounts to reduce AR days and improve collections.
- Maintain accurate documentation of calls, claim status, and actions in billing systems.
- Coordinate with billing, coding, and internal teams to resolve discrepancies and correct claim errors.
- Verify insurance eligibility, benefits, and coverage details when required.
- Communicate effectively with insurance representatives to negotiate payments and resolve issues.
- Ensure compliance with healthcare regulations and payer guidelines during claim follow-ups.
- Meet daily productivity targets, including call volumes and collection goals.
- Identify trends in denials and provide process improvement suggestions to enhance billing efficiency.
What We Do
GetixHealth provides hospitals, clinics, university medical centers, and other healthcare facilities across the United States with comprehensive revenue cycle management (RCM) services. Our services are customized to the needs of our client and can either include all facets of the front and back office revenue cycle or a mixture of these services, including but not limited to: medical coding and billing, claims management, insurance eligibility services, medicaid/medicare specialized services, and self pay and bad debt collections.
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