Job Description
The Claims Reimbursement Representative is responsible for researching and resolving insurance billing issues at the time of claims submission, upon receipt of denial or non contracted payment, and refund requests assigned to specific insurance(s) and providers/specialties. Interact daily including but not limited to insurance companies, clinics, other CBO departments and MANA administration. This
8:00 AM
Coders start the day by pulling their assigned chart queue. In a hospital setting, an inpatient coder might work 15–25 charts per…
8:30 AM
Open the first chart. Read the operative report, discharge summary, and physician notes. Assign the principal diagnosis code (the…
10:30 AM
Encounter a complex chart — a patient with multiple comorbidities and a surgical complication. You spend extra time to capture eve…
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