Job Description
Job Description Job Description Medical Billing & Claims Manager (Ambulance Operations) Join Our Team as a Healthcare Claims Expert We are seeking an experienced Medical Billing & Claims Manager to oversee and manage all aspects of our specialized claims processing, compliance, claim accuracy, denial prevention, and electronic data interchange (EDI) workflows. While this position focuses on our sp
7:30 AM
Log in and pull the overnight denial queue. Your worklist shows 40–80 claims flagged by the payer in the last 24 hours. Sort by do…
8:00 AM
Start working the queue. For each denial, you're reading the remittance advice, identifying the denial reason code (CO-4, CO-50, C…
9:30 AM
Hit a complex medical necessity denial from a Medicare Advantage plan. Open the patient chart, pull the clinical documentation, an…
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