- Should have strong knowledge in RCM and denial management.- Should have knowledge on terms like CPTs, Modifiers, ICD codes- Should have knowledge on insurance guidelines especially Medicare and Non-Medicare.- Good Knowledge on Denial Scenarios- Calling agents on claims resolutions and handling the denials for a closure.- Ensure 100% follow up on pending claims- Ensure deliverables adhere to quality standards- Handling daily denials- Handling more complex/aged inventory- Follow the basic rules as provided on the SOPEducation/ Experience Requirements- Any Graduation Degree and above- Problem solving skills- Strong verbal and written communication skills with the ability to translate information requests into practical output results- Should be analytically strong & well versed with RCM benchmarks- Excellent Domain Knowledge (ref:updazz.com)
updazz .com
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